中国现代医生2024，Vol.62Issue(30) ：13-20.DOI:10.3969/j.issn.1673-9701.2024.30.003

解剖重建与解剖修补治疗慢性踝关节外侧不稳的临床效果及安全性Meta分析

Meta-analysis of the clinical efficacy and safety of anatomical reconstruction and repair in the treatment of chronic lateral instability of the ankle joint

曾海全 缪伟金 余铭 王敏 王文
中国现代医生2024，Vol.62Issue(30) ：13-20.DOI:10.3969/j.issn.1673-9701.2024.30.003
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解剖重建与解剖修补治疗慢性踝关节外侧不稳的临床效果及安全性Meta分析

Meta-analysis of the clinical efficacy and safety of anatomical reconstruction and repair in the treatment of chronic lateral instability of the ankle joint

曾海全 1缪伟金 1余铭 2王敏 1王文3
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作者信息

  • 1. 暨南大学附属广州红十字会医院关节外科及运动医学科,广东广州 510220
  • 2. 贵州医科大学临床医学院,贵州贵阳 550004
  • 3. 暨南大学附属广州红十字会医院关节外科及运动医学科,广东广州 510220;贵州医科大学临床医学院,贵州贵阳 550004
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摘要

目的 通过Meta分析对解剖修补和解剖重建的临床疗效和安全性进行评价.方法 系统检索PubMed、Embase、万方数据知识服务平台、中国知网等数据库,获得各数据库自建库至2022年12月有关解剖修补与解剖重建治疗慢性踝关节外侧不稳的相关文献,使用Revman 5.4、R 4.2软件进行Meta分析.结果 最终纳入8篇文献,均为随机对照试验.Meta分析结果显示解剖修补和解剖重建在术后应力位距骨前移距离(MD=0.54,95％CI:0.27～0.81,P<0.01)、距骨倾斜角(MD=0.36,95％CI:0.07～0.66,P=0.02)、美国足与踝关节协会踝与后足功能评分方面比较,差异有统计学意义(MD=-4.79,95％CI:-6.58～-3.01,P<0.01);而并发症比较,差异无统计学意义(RR=1.13,95％CI:0.32～3.97,P=0.85).结论 解剖重建术临床疗效优于解剖修补术,两种治疗方法的并发症风险相当.

Abstract

Objective To evaluate the clinical efficacy and safety of anatomical repair and anatomical reconstruction through Meta-analysis.Methods Systematically search PubMed,Embase,Wanfang database,China National Knowledge Infrastructure and other databases were used to obtain the relevant literature in the treatment of chronic lateral instability of the ankle joint with anatomical repair and reconstruction from the establishment of each database to December 2022,and Revman 5.4 and R 4.2 software were used for Meta-analysis.Results Eight articles were finally included in this paper.All were randomized controlled trials.The results of Meta-analysis showed that:there were statistically significant differences between anatomical repair and anatomical reconstruction in the anterior talar translation (MD=0.54,95％CI:0.27-0.81,P<0.01),talus tilt angle (MD=0.36,95％CI:0.07-0.66,P=0.02),and American Orthopaedic Foot & Ankle Society scale (MD=-4.79,95％CI:-6.58--3.01,P<0.01),but there was no statistically significant difference in complications (RR=1.13,95％CI:0.32-3.97,P=0.85).Conclusion Anatomical reconstruction is superior to anatomical repair in clinical efficacy,while the risk of complications is comparable between two.

关键词

慢性踝关节外侧不稳/解剖重建/解剖修补/Meta分析

Key words

Chronic lateral instability of the ankle joint/Anatomical reconstruction/Anatomical repair/Meta-analysis

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出版年

2024
中国现代医生
中国医学科学院

中国现代医生

影响因子：1.571
ISSN：1673-9701
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