PDF(Pubmed)
Abstract：
UNASSIGNED: Many joint-preserving surgical interventions for cartilage defects of the knee have been adapted for use in the shoulder; however, there still exists no clear consensus for treatment. Thus, the purpose of this systematic review was to evaluate the outcomes of different interventions in patients with focal chondral lesions of the glenohumeral joint.
UNASSIGNED: A literature search was conducted using PubMed, Embase, and Medline. Patients who underwent a joint-preserving surgical procedure to treat a focal chondral defect of the glenoid, humeral head or both were included. Patients treated for diffuse cartilage defects or with shoulder arthroplasty were excluded.
UNASSIGNED: Ten studies were included, with follow-up data available for 194 shoulders. Eight joint-preserving procedures were evaluated, with microfracture being the most common. One study evaluating microfracture reported significant improvements in patient-reported outcomes at short-term and long-term follow-up compared to preoperative scores. Across all studies, 32 patients underwent subsequent shoulder surgery, with 22 being arthroplasties.
UNASSIGNED: We found improvements in patient-reported and functional outcomes across all studies. Although joint-preserving procedures have shown reasonable outcomes for focal chondral defects of the glenohumeral joint, long-term outcomes remain unknown, and the progression of osteoarthritis remains a concern. Higher quality evidence is required to make definitive recommendations.
UNASSIGNED: IV.
UNASSIGNED: A literature search was conducted using PubMed, Embase, and Medline. Patients who underwent a joint-preserving surgical procedure to treat a focal chondral defect of the glenoid, humeral head or both were included. Patients treated for diffuse cartilage defects or with shoulder arthroplasty were excluded.
UNASSIGNED: Ten studies were included, with follow-up data available for 194 shoulders. Eight joint-preserving procedures were evaluated, with microfracture being the most common. One study evaluating microfracture reported significant improvements in patient-reported outcomes at short-term and long-term follow-up compared to preoperative scores. Across all studies, 32 patients underwent subsequent shoulder surgery, with 22 being arthroplasties.
UNASSIGNED: We found improvements in patient-reported and functional outcomes across all studies. Although joint-preserving procedures have shown reasonable outcomes for focal chondral defects of the glenohumeral joint, long-term outcomes remain unknown, and the progression of osteoarthritis remains a concern. Higher quality evidence is required to make definitive recommendations.
UNASSIGNED: IV.
摘要：
■许多针对膝关节软骨缺损的保留关节的外科手术已适用于肩部；然而，对于治疗仍然没有明确的共识.因此，本系统综述的目的是评估不同干预措施对肱骨关节局灶性软骨损伤患者的治疗效果.
■使用PubMed进行了文献检索，Embase,Medline接受关节保留外科手术治疗关节盂局灶性软骨缺损的患者，肱骨头或两者都包括在内。排除接受弥漫性软骨缺损或肩关节置换术的患者。
■纳入了10项研究，有194个肩膀的随访数据。评估了八个关节保留程序，微骨折是最常见的。一项评估微骨折的研究报告，与术前评分相比，在短期和长期随访中，患者报告的预后显着改善。在所有研究中，32例患者接受了随后的肩部手术，22是关节置换术。
■我们发现所有研究的患者报告和功能结果都有改善。尽管保留关节的手术已显示出合理的结果，为盂肱骨关节的局灶性软骨缺损，长期结果仍然未知，骨关节炎的进展仍然令人担忧。提出明确的建议需要更高质量的证据。
■IV.
■使用PubMed进行了文献检索，Embase,Medline接受关节保留外科手术治疗关节盂局灶性软骨缺损的患者，肱骨头或两者都包括在内。排除接受弥漫性软骨缺损或肩关节置换术的患者。
■纳入了10项研究，有194个肩膀的随访数据。评估了八个关节保留程序，微骨折是最常见的。一项评估微骨折的研究报告，与术前评分相比，在短期和长期随访中，患者报告的预后显着改善。在所有研究中，32例患者接受了随后的肩部手术，22是关节置换术。
■我们发现所有研究的患者报告和功能结果都有改善。尽管保留关节的手术已显示出合理的结果，为盂肱骨关节的局灶性软骨缺损，长期结果仍然未知，骨关节炎的进展仍然令人担忧。提出明确的建议需要更高质量的证据。
■IV.
