采用可吸收和不可吸收缝线修复跟腱断裂的并发症发生率：系统评价。
Rates of complications in Achilles tendon rupture repair using absorbable and nonabsorbable suture material; A systematic review.
机构信息
Midland Regional Hospital Tullamore, Arden Rd, Puttaghan, Tullamore, Co. Offaly, R35 NY51, Ireland; University College Dublin, Belfield, Dublin 4, Ireland.
National Orthopaedic Hospital Cappagh, Cappagh Rd, Cappoge, Dublin 11, D11 EV29, Ireland.
出版信息
Foot (Edinb). 2022 May;51:101875. doi: 10.1016/j.foot.2021.101875. Epub 2021 Nov 3.
BACKGROUND
The impact of suture type on tensile strength, re-rupture rates and infection risk in Achilles tendon rupture repair is not been well established. The aim of this review is to evaluate existing literature on the associated risk of postoperative infection with absorbable and non-absorbable suture materials in Achilles tendon rupture repair.
METHODS
A systematic review of search databases PubMed; Google Scholar; and OVID Medline was made to identify studies related to complications associated with Achilles tendon rupture repair. PRISMA guidelines were utilised for this review. Meta-analysis was used to compare rupture rates and infections following rupture repair.
RESULTS
12 studies with a total of 460 patients, 230 in both nonabsorbable and absorbable suture groups were included for analysis. Risk of wound complications was significantly higher in patients with non-absorbable sutures (p < 0.001).
CONCLUSION
Nonabsorbable braided sutures is associated with the highest risk of postoperative wound complications following Achilles tendon rupture repair.
背景
缝线类型对跟腱断裂修复的拉伸强度、再断裂率和感染风险的影响尚未得到充分证实。本综述的目的是评估现有文献中关于在跟腱断裂修复中使用可吸收和不可吸收缝线材料与术后感染相关的风险。
方法
系统检索了 PubMed、Google Scholar 和 OVID Medline 数据库，以确定与跟腱断裂修复相关并发症相关的研究。本综述采用了 PRISMA 指南。使用荟萃分析比较了断裂修复后的再断裂率和感染率。
结果
纳入了 12 项研究，共计 460 例患者，其中不可吸收缝线组和可吸收缝线组各 230 例。非吸收缝线组患者的伤口并发症风险明显更高（p<0.001）。
结论
不可吸收编织缝线与跟腱断裂修复后术后伤口并发症的风险最高。
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