PDF(Pubmed)
Abstract：
UNASSIGNED: Postoperative knee arthrofibrosis is a common and potentially detrimental complication affecting knee function and gait. Several cohort studies have reported good outcomes after arthroscopic lysis of adhesions (LOA) with manipulation under anesthesia (MUA).
UNASSIGNED: To review the literature assessing the efficacy and complications of arthroscopic LOA and MUA for postoperative arthrofibrosis of the knee and evaluate whether any relevant subgroups are associated with different clinical presentation and outcomes.
UNASSIGNED: Systematic review; Level of evidence, 4.
UNASSIGNED: This review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Eligible studies published from January 1, 1990, to April 1, 2021, were identified through a search of the US National Library of Medicine (PubMed/MEDLINE), EMBASE, and Cochrane databases. All studies included in this analysis included pre- and postoperative range of motion measurements for their treated patients. Studies reporting outcomes for patients with isolated cyclops lesions after anterior cruciate ligament reconstruction were excluded.
UNASSIGNED: Eight studies comprising 240 patients were included. The mean time from index surgery to arthroscopic LOA and MUA was 8.4 months, and the mean postoperative follow-up was at 31.2 months. All studies demonstrated a significant improvement (41.6°) in arc of motion after arthroscopic LOA. Clinically significant improvements in outcome measures, including the International Knee Documentation Committee, Western Ontario and McMaster Universities Osteoarthritis Index, and Knee injury and Osteoarthritis Outcome Score, were reported after arthroscopic LOA across all applicable studies. Of 240 patients, a single complication (synovial fistula) occurred after LOA and MUA, which resolved without intervention.
UNASSIGNED: The results of this review indicated that arthroscopic LOA and MUA is a safe and efficacious treatment for postoperative arthrofibrosis of the knee.
UNASSIGNED: To review the literature assessing the efficacy and complications of arthroscopic LOA and MUA for postoperative arthrofibrosis of the knee and evaluate whether any relevant subgroups are associated with different clinical presentation and outcomes.
UNASSIGNED: Systematic review; Level of evidence, 4.
UNASSIGNED: This review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Eligible studies published from January 1, 1990, to April 1, 2021, were identified through a search of the US National Library of Medicine (PubMed/MEDLINE), EMBASE, and Cochrane databases. All studies included in this analysis included pre- and postoperative range of motion measurements for their treated patients. Studies reporting outcomes for patients with isolated cyclops lesions after anterior cruciate ligament reconstruction were excluded.
UNASSIGNED: Eight studies comprising 240 patients were included. The mean time from index surgery to arthroscopic LOA and MUA was 8.4 months, and the mean postoperative follow-up was at 31.2 months. All studies demonstrated a significant improvement (41.6°) in arc of motion after arthroscopic LOA. Clinically significant improvements in outcome measures, including the International Knee Documentation Committee, Western Ontario and McMaster Universities Osteoarthritis Index, and Knee injury and Osteoarthritis Outcome Score, were reported after arthroscopic LOA across all applicable studies. Of 240 patients, a single complication (synovial fistula) occurred after LOA and MUA, which resolved without intervention.
UNASSIGNED: The results of this review indicated that arthroscopic LOA and MUA is a safe and efficacious treatment for postoperative arthrofibrosis of the knee.
摘要：
未经证实：术后膝关节纤维化是影响膝关节功能和步态的常见且潜在有害的并发症。一些队列研究报告了关节镜下粘连松解术（LOA）和麻醉下操作（MUA）后的良好结果。
UNASSIGNED：回顾评估关节镜下LOA和MUA治疗膝关节术后关节纤维化的疗效和并发症的文献，并评估任何相关亚组是否与不同的临床表现和结果相关。
未经评估：系统评价；证据水平，4.
UNASSIGNED：本综述是根据PRISMA（系统评价和荟萃分析的首选报告项目）指南进行的。通过搜索美国国家医学图书馆（PubMed/MEDLINE），确定了从1990年1月1日至2021年4月1日发表的合格研究。EMBASE,和Cochrane数据库。该分析中包括的所有研究包括治疗患者的术前和术后运动范围测量。排除报告前交叉韧带重建后孤立性圈囊病变患者结局的研究。
UNASSIGNED：纳入了由240名患者组成的8项研究。从索引手术到关节镜LOA和MUA的平均时间为8.4个月，术后平均随访31.2个月.所有研究均显示关节镜LOA后运动弧度有显着改善（41.6°）。临床上显著改善结果测量，包括国际膝关节文献委员会,西安大略省和麦克马斯特大学骨关节炎指数，膝关节损伤和骨关节炎结果评分，在所有适用研究的关节镜下LOA后报告。240名患者中,LOA和MUA后发生单一并发症（滑膜瘘），在没有干预的情况下解决。
UNASSIGNED：本综述的结果表明，关节镜下LOA和MUA是膝关节术后关节纤维化的安全有效的治疗方法。
UNASSIGNED：回顾评估关节镜下LOA和MUA治疗膝关节术后关节纤维化的疗效和并发症的文献，并评估任何相关亚组是否与不同的临床表现和结果相关。
未经评估：系统评价；证据水平，4.
UNASSIGNED：本综述是根据PRISMA（系统评价和荟萃分析的首选报告项目）指南进行的。通过搜索美国国家医学图书馆（PubMed/MEDLINE），确定了从1990年1月1日至2021年4月1日发表的合格研究。EMBASE,和Cochrane数据库。该分析中包括的所有研究包括治疗患者的术前和术后运动范围测量。排除报告前交叉韧带重建后孤立性圈囊病变患者结局的研究。
UNASSIGNED：纳入了由240名患者组成的8项研究。从索引手术到关节镜LOA和MUA的平均时间为8.4个月，术后平均随访31.2个月.所有研究均显示关节镜LOA后运动弧度有显着改善（41.6°）。临床上显著改善结果测量，包括国际膝关节文献委员会,西安大略省和麦克马斯特大学骨关节炎指数，膝关节损伤和骨关节炎结果评分，在所有适用研究的关节镜下LOA后报告。240名患者中,LOA和MUA后发生单一并发症（滑膜瘘），在没有干预的情况下解决。
UNASSIGNED：本综述的结果表明，关节镜下LOA和MUA是膝关节术后关节纤维化的安全有效的治疗方法。
