可吸收螺钉与普通皮质骨螺钉治疗下胫腓联合损伤疗效的Meta分析

发布时间：2018-05-12 04:57

本文选题：可吸收螺钉 + 普通皮质骨螺钉　；参考：《中国现代医学杂志》2017年15期

【摘要】：目的利用Meta分析的方法综合评价生物可吸收螺钉与普通皮质骨螺钉在下胫腓联合损伤的手术治疗的疗效评价。方法通过查找万方数据库、维普数据库、Pubmed及Embase等数据库,共纳入12篇相关文献。采集踝关节功能优良率、踝关节功能评分、踝关节活动度及相关并发症等相关结果数据,利用Rev Man5.35对结果进行Meta分析。结果纳入的12篇相关文献均为随机对照试验,共872例患者,其中生物可吸收螺钉组(AS)447例及普通皮质螺钉组(MS)425例。Meta分析结果显示,与普通皮质骨螺钉相比,生物可吸收螺钉固定术后踝关节功能优良率更高,差异有统计学意义(P0.05);踝关节功能评分两组比较,差异无统计学意义(P0.05);踝关节背屈及跖屈活动度差异无统计学意义;生物可吸收螺钉固定术后并发症的发生率更高,其中异物反应发生率较普通皮质骨螺钉组高,其余如断钉、异位骨化、感染及创伤性关节炎等并发症发生率与普通皮质骨螺钉组差异无统计学意义。结论生物可吸收螺钉是治疗下胫腓损伤的有效内固定物,可有效避免普通皮质骨螺钉二次手术,同时也能减少断钉的风险及手术后感染发生的风险,但同时也增加异物反应发生率。
[Abstract]:Objective to evaluate the curative effect of bioabsorbable screw and common cortical screw in the treatment of inferior tibiofibular syndesmosis injury by Meta analysis. Methods by searching Wanfang database, Weip database, pubmed database and Embase database, 12 related literatures were included. The excellent and good rate of ankle function, ankle function score, ankle range of motion and related complications were collected, and the results were analyzed by Meta using Rev Man5.35. Results all the 12 articles involved were randomized controlled trials, including 447 cases of bioabsorbable screws group and 425 cases of normal cortical screw group. Meta-analysis showed that compared with normal cortical screw, 872 patients were compared with normal cortical screw. The excellent and good rate of ankle joint function after bio-absorbable screw fixation was higher, the difference was statistically significant (P 0.05), there was no significant difference in ankle function score between the two groups (P 0.05), and there was no significant difference in the motion of ankle dorsal flexion and metatarsal flexion. The incidence of complications after bioabsorbable screw fixation was higher than that in the common cortical screw group, and the others were broken nails and heterotopic ossification, the incidence of foreign body reaction was higher than that of the common cortical screw group. The incidence of complications such as infection and traumatic arthritis was not significantly different from that of normal cortical screw group. Conclusion the bioabsorbable screw is an effective internal fixator for the treatment of lower tibiofibular injury. It can effectively avoid the secondary operation of common cortical screw and reduce the risk of nail breakage and post-operative infection. But it also increased the incidence of foreign body reactions.
【作者单位】：新疆医科大学第二附属医院骨科;
【分类号】：R687.33

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