Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations.
Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations.
复制标题
用于稳定慢性肩关节不稳定的关节镜手术与开放手术一样有效吗？
DOI：
10.1302/0301-620x.89b9.18467
复制
发表时间：
2007
影响因子：
--
通讯作者：
P. Boileau
中科院分区：
文献类型：
--
作者：
J. Hobby;Damian R. Griffin;Mark Robert Dunbar;P. Boileau
对1985年1月至2006年2月发表的文献进行系统搜索，确定了62项研究，这些研究报告了关节镜手术治疗慢性前肩不稳的结果或关节镜手术与开放手术的比较。这些研究按手术技术和研究方法进行分类，并在适当的时候纳入荟萃分析。关节镜下使用吻合器或经关节突缝合技术稳定肩部的失败率似乎明显高于开放手术或使用缝合锚或生物可吸收钉的关节镜稳定。关节镜下使用最有效的技术进行前路稳定，两年后开放稳定的失败率相似。
A systematic search of the literature published between January 1985 and February 2006 identified 62 studies which reported the results of arthroscopic procedures for chronic anterior shoulder instability or comparisons between arthroscopic and open surgery. These studies were classified by surgical technique and research methodology, and when appropriate, were included in a meta-analysis. The failure rate of arthroscopic shoulder stabilisation using staples or transglenoid suture techniques appeared to be significantly higher than that of either open surgery or arthroscopic stabilisation using suture anchors or bio-absorbable tacks. Arthroscopic anterior stabilisation using the most effective techniques has a similar rate of failure to open stabilisation after two years.