■通过荟萃分析评估了髋关节镜检查中囊膜闭合与未闭合对股骨髋臼撞击(FAI)的影响。
■最新的搜索更新发生在2022年8月,通过搜索Pubmed和EMBASE数据库发现了相关研究。进行了FAI髋关节镜检查的一系列研究。使用ReviewManager5.3进行荟萃分析。使用比值比(OR)和平均差(MD)比较了二分法和连续因子。选择了固定效应或随机效应模型,取决于异质性程度(I2)。森林地块用于评估结果。统计学分析采用P<0.05的显著性水平。
■最终,15项研究纳入荟萃分析。与未闭合(NC组)组相比,包膜闭合组(CC组)的手术时间更长。(P<0.001,SMD=8.59,95CI[7.40,9.77],I2=32%)。髋关节镜检查后,CC组mHHS优于NC组(P=0.001,MD=2.05,95CI[0.83,3.27],I2=42%),HOS-ADL(P<0.001,MD=4.29,95CI[3.08,5.50],I2=0%)。包膜闭合组术后并发症发生率降低(P=0.001,OR=0.21,95CI[0.08,0.54],I2=0%)和转化为THA(P=0.01,OR=0.42,95CI[0.21,0.83],I2=0%)后髋关节镜检查比非闭合组。修订率,VAS,术后HOS-SSS两组间差异无统计学意义(P>0.05).
■当前的荟萃分析发现,与非封闭胶囊组相比,封闭组的并发症发生率较低,术后mHHS和HOS-ADL明显较高。这是否与生物力学和临床研究技术的不断进步有关,值得我们关注。
■四级,通过III级研究对I级进行系统评价。
UNASSIGNED: The impact of capsular closure vs non-closure in hip arthroscopy for femoracetabular impingement (FAI) was assessed by a meta-analysis.
UNASSIGNED: With the most recent search update occurring in August 2022, relevant studies were found by searching the Pubmed and EMBASE databases. A collection of studies was made that conducted hip arthroscopy for FAI.
Review Manager 5.3 was used to carry out the meta-analysis. The dichotomous and continuous factors were compared using the odds ratios (OR) and mean differences (MD). A fixed-effect or random-effect model was chosen, depending on the degree of heterogeneity (I2). Forest plots were used to assess the results. A significance level of P < 0.05 was applied to the statistical analysis.
UNASSIGNED: Ultimately, 15 studies were incorporated into the meta-analysis. The surgery time was longer for the capsular closure group (CC group) compared to the non-closure (NC group) group. (P < 0.001, SMD = 8.59, 95%CI [7.40, 9.77], I2 = 32 %). Following hip arthroscopy, the CC group\'s mHHS was superior to that of the NC group (P = 0.001, MD = 2.05, 95%CI [0.83, 3.27], I2 = 42 %), HOS-ADL (P < 0.001, MD = 4.29, 95%CI [3.08, 5.50], I2 = 0 %). The capsular closure group had a reduced rate of postoperative complications (P = 0.001, OR = 0.21, 95%CI [0.08, 0.54], I2 = 0 %) and conversion to THA (P = 0.01, OR = 0.42, 95%CI [0.21, 0.83], I2 = 0 %) following hip arthroscopy than the non-closure group. The revision rate, VAS, and postoperative HOS-SSS did not significantly differ between these two groups (P>0.05).
UNASSIGNED: The current meta-analysis found that the closed group had a lower complication rate and considerably greater mHHS and HOS-ADL following surgery compared to the non-closed capsule group. Whether this is related to the continuous progress of biomechanical and clinical research techniques deserves our attention.
UNASSIGNED: Level IV, systematic
review of Level I through Level III studies.