PDF(Pubmed)
Abstract：
OBJECTIVE: This study aimed to perform a systematic review and meta-analysis to compare the clinical outcomes of open surgery and arthroscopic release in gluteal muscle contracture (GMC).
METHODS: Two independent reviewers YM and WL conducted a systematic search of PubMed, Embase, Cochrane Library, and Web of Science to identify clinical trials that adhered to the PRISMA guidelines (Appendix A), spanning from inception to July 2023. Search items included ((\"gluteal\" OR \"gluteus\") AND (\"contracture\" OR \"fibrosis\")). Research comparing open surgery or arthroscopic release was included. Clinical outcomes were compared using the risk ratio for dichotomous variables and the standardized mean difference for continuous variables. A P value < 0.05 was deemed statistically significant.
RESULTS: Four studies with 453 patients met the selection criteria and were included in this review. Compared with open surgery, in the case of similar postoperative functional satisfaction (1.21, 95% CI = 0.46-3.17, P = 0.70), the arthroscopic release achieved advantages in postoperative complications (3.5, 95% CI = 1.75-7.03, P = 0.0004), cosmetic satisfaction (0.07, 95% CI = 0.01-0.65, P = 0.02), length size (5.65, 95% CI = 4.11-7.19, P < 0.001), and hospitalization duration (1.57, 95% CI = 0.89 to 2.26, P < 0.001).
CONCLUSIONS: This research shows that both open surgery and arthroscopic release improve functional satisfaction. The arthroscopic release could result in fewer complications, better cosmetic satisfaction, shorter length size, and shorter hospitalization duration. Registration and protocol There is no registration and protocol for this meta-analysis.
METHODS: Two independent reviewers YM and WL conducted a systematic search of PubMed, Embase, Cochrane Library, and Web of Science to identify clinical trials that adhered to the PRISMA guidelines (Appendix A), spanning from inception to July 2023. Search items included ((\"gluteal\" OR \"gluteus\") AND (\"contracture\" OR \"fibrosis\")). Research comparing open surgery or arthroscopic release was included. Clinical outcomes were compared using the risk ratio for dichotomous variables and the standardized mean difference for continuous variables. A P value < 0.05 was deemed statistically significant.
RESULTS: Four studies with 453 patients met the selection criteria and were included in this review. Compared with open surgery, in the case of similar postoperative functional satisfaction (1.21, 95% CI = 0.46-3.17, P = 0.70), the arthroscopic release achieved advantages in postoperative complications (3.5, 95% CI = 1.75-7.03, P = 0.0004), cosmetic satisfaction (0.07, 95% CI = 0.01-0.65, P = 0.02), length size (5.65, 95% CI = 4.11-7.19, P < 0.001), and hospitalization duration (1.57, 95% CI = 0.89 to 2.26, P < 0.001).
CONCLUSIONS: This research shows that both open surgery and arthroscopic release improve functional satisfaction. The arthroscopic release could result in fewer complications, better cosmetic satisfaction, shorter length size, and shorter hospitalization duration. Registration and protocol There is no registration and protocol for this meta-analysis.
摘要：
目的：本研究旨在进行系统评价和荟萃分析，比较开放手术和关节镜下松解术治疗臀肌挛缩症（GMC）的临床效果。
方法：YM和WL两个独立的审阅者对PubMed进行了系统的搜索，Embase,科克伦图书馆,和WebofScience确定符合PRISMA指南（附录A）的临床试验，从成立到2023年7月。搜索项目包括（\"臀肌\"或\"臀肌\"）和（\"挛缩\"或\"纤维化\"））。包括比较开放手术或关节镜松解术的研究。使用二分变量的风险比和连续变量的标准化平均差比较临床结果。P值<0.05被认为是统计学上显著的。
结果：有453例患者的4项研究符合选择标准，纳入本综述。与开放手术相比,在术后功能满意度相似的情况下(1.21,95%CI=0.46-3.17,P=0.70),关节镜松解术在术后并发症方面取得了优势(3.5,95%CI=1.75-7.03,P=0.0004),化妆品满意度(0.07，95%CI=0.01-0.65，P=0.02)，长度大小(5.65,95%CI=4.11-7.19,P<0.001),住院时间(1.57,95%CI=0.89~2.26,P<0.001)。
结论：这项研究表明，开放手术和关节镜松解术都能提高功能满意度。关节镜松解术可以减少并发症，更好的化妆品满意度，较短的长度尺寸，住院时间较短。注册和协议本荟萃分析没有注册和协议。
方法：YM和WL两个独立的审阅者对PubMed进行了系统的搜索，Embase,科克伦图书馆,和WebofScience确定符合PRISMA指南（附录A）的临床试验，从成立到2023年7月。搜索项目包括（\"臀肌\"或\"臀肌\"）和（\"挛缩\"或\"纤维化\"））。包括比较开放手术或关节镜松解术的研究。使用二分变量的风险比和连续变量的标准化平均差比较临床结果。P值<0.05被认为是统计学上显著的。
结果：有453例患者的4项研究符合选择标准，纳入本综述。与开放手术相比,在术后功能满意度相似的情况下(1.21,95%CI=0.46-3.17,P=0.70),关节镜松解术在术后并发症方面取得了优势(3.5,95%CI=1.75-7.03,P=0.0004),化妆品满意度(0.07，95%CI=0.01-0.65，P=0.02)，长度大小(5.65,95%CI=4.11-7.19,P<0.001),住院时间(1.57,95%CI=0.89~2.26,P<0.001)。
结论：这项研究表明，开放手术和关节镜松解术都能提高功能满意度。关节镜松解术可以减少并发症，更好的化妆品满意度，较短的长度尺寸，住院时间较短。注册和协议本荟萃分析没有注册和协议。
