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Outcomes After Anatomic Lateral Ankle Ligament Reconstruction Using Allograft Tendon for Chronic Ankle Instability: A Systematic Review and Meta-analysis.

应用同种异体肌腱解剖性踝关节外侧韧带重建慢性踝关节不稳术后的结局: 系统综述和荟萃分析。

  • 影响因子:0
  • DOI:10.1053/j.jfas.2019.07.008
  • 作者列表:"Li H","Song Y","Li H","Hua Y
  • 发表时间:2020-01-01
Abstract

:The purpose of this study was to systematically review the current evidence in the literature to ascertain whether the anatomic ankle ligament reconstruction procedure with allograft resulted in improved patient outcomes after ≥2 years of follow-up. A literature search of Medline, EMBASE, and the Cochrane Library was performed based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. Clinical studies investigating anatomic lateral ankle ligament reconstruction procedures for chronic ankle instability with a mean of >2 years' follow-up were included. Means were calculated for population size, age, follow-up duration, and postoperative Tegner scores. Pooled estimates were calculated for postoperative American Orthopaedic Foot and Ankle Society (AOFAS) score, range of motion, return to sports, risk of postoperative instability, and complications. Six clinical trials with 153 patients were included. The pooled estimated mean for the postoperative AOFAS score was 89.4 points (95% confidence interval [CI], 86.0 to 92.9; I2 = 88.7%). The pooled proportion of patients who returned to sports after surgery was 80% (95% CI 57.0% to 100%; I2 = 88.7%). The pooled total risk of recurrent instability after surgery was 6% (95% CI 1% to 12%; I2 = 0%). No rejection was reported. Anatomic lateral ankle ligament reconstruction procedure results in significant improvements in patient function and outcome scores, with low rates of recurrent instability.

摘要

: 本研究的目的是系统回顾文献中的当前证据,以确定同种异体移植物解剖踝关节韧带重建手术在 ≥ 2 年的随访后是否改善了患者的预后。根据PRISMA (系统综述和荟萃分析的首选报告项目) 指南进行了Medline、EMBASE和Cochrane Library的文献检索。纳入研究解剖性踝关节外侧韧带重建手术治疗慢性踝关节不稳的临床研究,平均随访> 2 年。计算人口规模、年龄、随访持续时间和术后Tegner评分的平均值。计算术后美国矫形足踝协会 (AOFAS) 评分、活动范围、恢复运动、术后不稳定风险和并发症的汇总估计值。纳入 6 项临床试验,153 例患者。术后AOFAS评分的汇总估计平均值为 89.4 分 (95% 置信区间 [CI],86.0 ~ 92.9; I2 = 88.7%)。术后恢复运动的患者的合并比例为 80% (95% CI 57.0% ~ 100%; I2 = 88.7%)。术后复发不稳定的汇总总风险为 6% (95% CI 1% ~ 12%; I2 = 0%)。无排斥反应报告。解剖性踝关节外侧韧带重建术可显著改善患者功能和结局评分,且复发性不稳定发生率低。

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DOI:10.1002/acr.23824
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