■颅骨剥脱性骨软骨炎(OCD)病变在运动员中很常见。骨软骨自体移植(OAT)是一种可能的治疗选择,尽管包括重返运动(RTS)数据在内的结果仅限于小系列。这项研究的目的是系统地回顾OAT后的RTS治疗头颅OCD病变。我们的次要目标是评估患者报告的结果(PRO),运动范围(ROM),以及OAT后的并发症。
■PubMed,Embase,在《护理和相关健康文献的累积指数》中搜索了同行评审的关于“自体骨软骨移植”的文章以及有关头颅强迫症病变的相关术语。如果他们报告了RTS率并且随访时间点至少为12个月,则包括文章。RTS费率数据,PRO措施,并发症,并提取ROM。使用非随机研究标准的方法学指数评估文章的方法学质量。
■共检索到六百六十六篇文章,24篇文章(470例患者)符合纳入标准。总的来说,454/470名患者(97%)在OAT后因OCD恢复运动。RTS率范围为79%至100%。恢复到以前的性能水平从10%到100%不等。Timmerman-Andrews术后评分(范围=169-193)最常报告,87%的患者得分在优秀范围内。手臂的残疾,肩膀,在术后所有研究报告中,手部和日本骨科协会的评分也很好,与较高的分数集中病变与横向。
■OAT治疗头颅强迫症后,RTS率很高;然而,应该建议运动员恢复到较低的表现或需要改变位置。侧向病变位置可能对结果产生负面影响。PRO评分通常很好,术后ROM持续改善。此信息有助于就OAT对capellum强迫症的期望和结果向患者提供咨询。
UNASSIGNED: Capitellar osteochondritis dissecans (OCD) lesions are common in athletes. Osteochondral autograft transfer (
OAT) is one possible treatment option, though outcomes including return to sport (RTS) data are limited to small series. The purpose of this study was to systematically review RTS following
OAT for capitellar OCD lesions. Our secondary objectives were to evaluate patient-reported outcomes (PROs), range of motion (ROM), and complications after
OAT.
UNASSIGNED: PubMed, Embase, and Cumulative Index to Nursing and Allied Health Literature were searched for peer-reviewed articles on \"osteochondral autograft transfer\" and related terms for capitellar OCD lesions. Articles were included if they reported an RTS rate and had a follow-up time point of at least 12 months. Data on RTS rates, PRO measures, complications, and ROM were extracted. Articles were assessed for methodological quality using the Methodological Index for Non-randomized Studies criteria.
UNASSIGNED: Six hundred sixty-six articles were retrieved, and 24 articles (470 patients) met the inclusion criteria. In total, 454/470 patients (97%) returned to sports following
OAT for OCD. The RTS rate ranged from 79% to 100%. Return to previous level of performance ranged from 10% to 100%. Timmerman-Andrews postoperative scores (range = 169-193) were most often reported, with 87% of patients showing scores within the excellent range. Disabilities of the Arm, Shoulder, and Hand and Japanese Orthopedic Association scores were also excellent postoperatively for all studies reporting, with higher scores among centralized lesions vs. lateral.
UNASSIGNED: Following
OAT for capitellar OCD lesions, RTS rates are high; however, athletes should be counseled on the potential of a return to lower performance or the need to change positions. Lateral lesion location may negatively impact outcomes. PRO scores are typically excellent and postoperative ROM consistently improves. This information helps counsel patients regarding expectations and outcomes of OAT for OCD of the capitellum.