■各种缝合线配置可用于内侧半月板后根撕裂(MMPRT)修复。已提出改进的Mason-Allen(MMA)技术作为MMPRT的固定技术,而不是传统的2个简单针迹(TSS)。这是鉴于其优越的生物力学特征。
为了进行系统评价和荟萃分析,以比较MMPRT修复的MMA和TSS配置技术,并确定两种技术在临床结果方面的任何差异,内侧半月板挤压(MME),和术后愈合。
■荟萃分析;证据水平,4.
■Cochrane控制的试验注册,PubMed,Medline,和Embase数据库使用PRISMA(系统评价和荟萃分析的首选报告项目)标准和以下搜索词进行系统评价和荟萃分析:(\"半月板\"或\"半月板损伤\")和(\"Mason-Allen\"或\"简单缝合\"或\"缝合技术\")。与所有患者报告的结果指标有关的数据,术后并发症,MME,术后愈合,软骨退化,从每项研究中提取膝关节骨性关节炎的进展。使用随机效应和固定效应模型分析合并的结果数据。
■经过摘要和全文筛选,纳入6项临床研究。总的来说,有291例患者;160例接受了MMA固定术,131人接受了TSS技术。大多数研究在修复技术方面都有类似的手术技术,缝合材料,胫骨固定,胫骨隧道的数量和位置。在14.2个月时,两组之间的患者报告结局指标没有差异。两种技术在术后MME和半月板愈合程度上也相似。
■两种缝合配置在临床结果方面是等效的,半月板挤压的程度,和术后愈合。TSS技术可以在更快的学习曲线和更短的操作时间方面提供优势。然而,大样本量的随机对照试验,更长时间的随访和软骨退变的评估,和膝骨关节炎的存在需要评估是否存在真正的差异,因为大多数纳入的研究都受到回顾性设计的限制.
UNASSIGNED: Various suture configurations are available for medial meniscus posterior root tear (MMPRT) repair. The modified Mason-Allen (MMA) technique has been proposed as a refixation technique for MMPRT instead of the conventional 2 simple stitches (TSS). This is in view of its superior biomechanical characteristics.
UNASSIGNED: To perform a systematic review and meta-analysis to compare MMA and TSS configuration techniques for MMPRT repair and identify any differences between the 2 techniques in terms of clinical outcomes, medial meniscal extrusion (MME), and postoperative healing.
UNASSIGNED: Meta-analysis; Level of evidence, 4.
UNASSIGNED: The Cochrane Controlled Register of Trials, PubMed, Medline, and Embase databases were used to perform a systematic review and meta-analysis using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria with the following search terms: (\"meniscus\" OR \"meniscal injuries\") AND (\"Mason-Allen\" OR \"simple stitch\" OR \"suture techniques\"). Data pertaining to all patient-reported outcome measures, postoperative complications, MME, postoperative healing, cartilage degeneration, and progression of knee osteoarthritis were extracted from each study. The pooled outcome data were analyzed using random- and fixed-effects models.
UNASSIGNED: After abstract and full-text screening, 6 clinical studies were included. In total, there were 291 patients; 160 underwent MMA fixation, and 131 underwent the TSS technique. The majority of studies had similar surgical techniques regarding repair technique, suture material, tibial fixation, and number and position of tibial tunnels. There were no differences between the groups in terms of patient-reported outcome measures at 14.2 months. Both techniques were also similar in the degree of postoperative MME and meniscal healing.
UNASSIGNED: Both suture configurations were equivalent in terms of clinical outcomes, the extent of meniscal extrusion, and postoperative healing. The TSS technique may offer advantages in terms of faster learning curve and shorter operative time. However, randomized controlled trials with large sample sizes, longer follow-up and assessment of chondral degeneration, and presence of knee osteoarthritis are required to assess whether a true difference exists, as the majority of included studies were limited by their retrospective design.