关键词: Clubfoot arthrogryposis child

来  源:   DOI:10.1177/18632521231214778   PDF(Pubmed)

Abstract:
UNASSIGNED: The aim of this systematic review was to address the Ponseti method in arthrogrypotic clubfoot treatment and evaluate the success, complication, and recurrence rates.
UNASSIGNED: A systematic review was performed in the PubMed, Scopus, Embase, and Web of Science databases on 9 January 2023, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Success, recurrence, and complication rates were evaluated and analyzed. Risks of bias and the quality of the studies were also evaluated.
UNASSIGNED: Five case series, including 53 patients (102 feet), were identified. According to this model, the initial success rate was 91% (95% confidence interval = 0.79-0.96) with I2 = 43%, and the final success was 68% (at 5.8 years of follow-up). Recurrence rate was 30% (95% confidence interval = 0.14-0.52).
UNASSIGNED: Ponseti method is indicated in the initial treatment of arthrogrypotic clubfeet, as it is a minimally invasive method with a high correction rate (91%). However, a high recurrence rate (30%) requires early detection and adequate treatment.
UNASSIGNED: Level III.
UNASSIGNED: CRD42020210373.
摘要:
本系统综述的目的是探讨Ponseti方法在关节病马蹄内翻足治疗中的应用,并评估其成功率,并发症,和复发率。
在PubMed中进行了系统评价,Scopus,Embase,根据系统审查和荟萃分析指南的首选报告项目,和2023年1月9日的WebofScience数据库。成功,复发,并对并发症发生率进行评价和分析。还评估了偏倚风险和研究质量。
五个案例系列,包括53名患者(102英尺),已确定。根据这个模型,初始成功率为91%(95%置信区间=0.79-0.96),I2=43%,最终成功率为68%(随访5.8年).复发率为30%(95%置信区间=0.14-0.52)。
Ponseti方法适用于关节滑脱性马蹄足的初始治疗,因为它是一种具有高矫正率(91%)的微创方法。然而,高复发率(30%)需要早期发现和充分治疗.
三级。
CRD42020210373。
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