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[1]邱永琪,崔宏勛,岳松濤,等.Endobutton帶袢鋼板與Rigidfix可吸收橫穿釘內(nèi)固定治療前交叉韌帶損傷有效性和安全性的Meta分析[J].中醫(yī)正骨,2023,35(01):36-42.
　QIU Yongqi,CUI Hongxun,YUE Songtao,et al.Clinical efficacy and safety of internal fixation with Endobutton plate versus absorbable Rigidfix cross-pins for treatment of anterior cruciate ligament injuries:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(01):36-42.
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Endobutton帶袢鋼板與Rigidfix可吸收橫穿釘內(nèi)固定治療前交叉韌帶損傷有效性和安全性的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年01期
頁碼:
36-42
欄目:
文獻(xiàn)研究
出版日期:
2023-01-20

文章信息/Info

Title:
Clinical efficacy and safety of internal fixation with Endobutton plate versus absorbable Rigidfix cross-pins for treatment of anterior cruciate ligament injuries:a meta-analysis
作者:
邱永琪1; 崔宏勛2; 岳松濤2; 水曉洋1; 王江一2; 王梁2; 郭馬瓏2
(1.河南中醫(yī)藥大學(xué),河南 鄭州 450046; 2.河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 鄭州 450016)
Author(s):
QIU Yongqi1; CUI Hongxun2; YUE Songtao2; SHUI Xiaoyang1; WANG Jiangyi2; WANG Liang2; GUO Malong2
1.Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China 2.Luoyang Orthopedic-Traumatological Hospital,Zhengzhou 450016,Henan,China
關(guān)鍵詞:
前交叉韌帶損傷;  Endobutton;  Rigidfix;  專題Meta分析
Keywords:
anterior cruciate ligament injuries;  Endobutton;  Rigidfix;  meta-analysis as topic
摘要:
目的:系統(tǒng)評(píng)價(jià)Endobutton帶袢鋼板與Rigidfix可吸收橫穿釘內(nèi)固定治療前交叉韌帶損傷的有效性和安全性。方法:通過計(jì)算機(jī)檢索中國知網(wǎng)、萬方數(shù)據(jù)庫、維普網(wǎng)、中國生物醫(yī)學(xué)文獻(xiàn)服務(wù)系統(tǒng)、PubMed、Embase、Web of Science、Cochrane Library從數(shù)據(jù)庫建庫至2022年5月1日收錄的比較Endobutton帶袢鋼板(Endobutton組)與Rigidfix可吸收橫穿釘(Rigidfix組)內(nèi)固定治療前交叉韌帶損傷的有效性和安全性的臨床研究文獻(xiàn)。由2名研究者獨(dú)立依照納入和排除標(biāo)準(zhǔn)對(duì)相關(guān)文獻(xiàn)進(jìn)行篩選和數(shù)據(jù)提取,并采用Cochrane偏倚風(fēng)險(xiǎn)評(píng)估工具對(duì)納入研究的隨機(jī)對(duì)照試驗(yàn)文獻(xiàn)進(jìn)行質(zhì)量評(píng)估,采用紐卡斯?fàn)?渥太華量表對(duì)納入的回顧性臨床研究文獻(xiàn)進(jìn)行質(zhì)量評(píng)估。采用RevMan5.3軟件進(jìn)行Meta分析。結(jié)果:共檢索到564篇文獻(xiàn),排除重復(fù)文獻(xiàn)202篇,閱讀題目和摘要后排除不相關(guān)文獻(xiàn)248篇,閱讀全文后排除97篇,最終納入文獻(xiàn)17篇,其中中文文獻(xiàn)10篇、英文文獻(xiàn)7篇。Meta分析結(jié)果顯示,2組Lysholm膝關(guān)節(jié)評(píng)分、國際膝關(guān)節(jié)文獻(xiàn)委員會(huì)(International Knee Documentation Committee,IKDC)評(píng)分、IKDC評(píng)分正常率、膝關(guān)節(jié)穩(wěn)定性比較,組間差異均無統(tǒng)計(jì)學(xué)意義[Lysholm膝關(guān)節(jié)評(píng)分:MD=-0.05,95%CI(-0.43,0.33),P=0.800; IKDC評(píng)分:MD=0.25,95%CI(-1.08,1.58),P=0.710; IKDC評(píng)分正常率:RR=1.14,95%CI(0.94,1.38),P=0.170; 膝關(guān)節(jié)穩(wěn)定性:MD=-0.10,95%CI(-0.30,0.10),P=0.340],Endobutton組術(shù)后并發(fā)癥發(fā)生率低于Rigidfix組[RR=0.54,95%CI(0.30,0.97),P=0.040]。基于術(shù)后Lysholm評(píng)分的發(fā)表偏倚風(fēng)險(xiǎn)分析結(jié)果顯示,14項(xiàng)研究的分布不完全對(duì)稱,不排除存在發(fā)表偏倚的可能。結(jié)論:Endobutton帶袢鋼板與Rigidfix可吸收橫穿釘內(nèi)固定治療前交叉韌帶損傷的療效相當(dāng),但前者安全性高于后者。
Abstract:
Objective:To systematically review the clinical efficacy and safety of internal fixation with Endobutton plate versus absorb-able Rigidfix cross-pins in the treatment of anterior cruciate ligament(ACL)injuries.Methods:All clinical trial articles about the clinical efficacy and safety of internal fixation with Endobutton plate(Endobutton group)versus absorbable Rigidfix cross-pins(Rigidfix group)for treatment of ACL injuries included from database establishing to May 1,2022 were retrieved from the China National Knowledge Internet,Wanfang Database,Vip Database,Chinese Biomedical Literature Service System,PubMed,Embase,Web of Science and Cochrane Library through computer.The articles were screened and the information was extracted independently by two researchers according to the inclusion and exclusion criteria,and if any disagreement was found between them,discussion was conducted or asked for another researcher for making a final decision.The methodological quality of researches in the randomized controlled trial(RCT)articles and retrospective clinical trial articles was evaluated by using Cochrane bias risk assessment tools and Newcastle-Ottawa scale(NOS)respectively,and then a Meta-analysis was conducted by using RevMan5.3 software.Results:Five hundred and sixty-four articles were searched out,and 202 repetitive articles were excluded in the initial stage.After screening through further reading titles and abstracts of the articles as well as the full texts of the remained articles in detail,248 and 97 articles were excluded respectively,17 articles were included in the final analysis,including 10 Chinese articles and 7 English articles.The results of Meta-analysis showed there was no significant difference between the 2 groups in Lysholm knee score,International Knee Documentation Committee(IKDC)score,normal rate of IKDC score and knee stability(Lysholm knee score:MD=-0.05,95%CI(-0.43,0.33),P=0.800; IKDC score:MD=0.25,95%CI(-1.08,1.58),P=0.710; normal rate of IKDC score:RR=1.14,95%CI(0.94,1.38),P=0.170; knee stability:MD=-0.10,95%CI(-0.30,0.10),P=0.340),while the rate of complications was lower in Endobutton group compared to Rigidfix group(RR=0.54,95%CI(0.30,0.97),P=0.040).Publication bias was analyzed according to funnel plot drawned based on Lysholm knee score,and the asymmetrical funnel plot indicated that there might be publication bias among the 14 studies.Conclusion:Internal fixation with Endobutton is similar to internal fixation with absorbable Rigidfix cross-pins in efficacy for treatment of ACL injuries,while the former displays the advantage of higher safety compared to the latter.

參考文獻(xiàn)/References:

[1] 張強(qiáng),郝光亮,李瑞,等.兩種Rigidfix固定方式重建前交叉韌帶近期療效的隨機(jī)對(duì)照研究[J].中國運(yùn)動(dòng)醫(yī)學(xué)雜志,2019,38(12):1021-1026.
[2] LOPES O V Jr,DE FREITAS SPINELLI L,LEITE L H C,et al.Femoral tunnel enlargement after anterior cruciate ligament reconstruction using RigidFix compared with extracortical fixation[J].Knee Surg Sports Traumatol Arthrosc,2017,25(5):1591-1597.
[3] MOUSAVI H,MALEKI A,NOBAKHT A.Comparative study after hamstring anterior cruciate ligament reconstruction with Endobutton and Rigidfix:a clinical trial study[J].Adv Biomed Res,2017,6:136.
[4] IBRAHIM S A,ABDUL GHAFAR S,MARWAN Y,et al.Intratunnel versus extratunnel autologous hamstring double-bundle graft for anterior cruciate ligament reconstruction:a comparison of 2 femoral fixation procedures[J].Am J Sports Med,2015,43(1):161-168.
[5] 趙金偉,欒崇崇.關(guān)節(jié)鏡下Endobutton與Rigidfix重建前交叉韌帶的效果對(duì)比研究[J].中華養(yǎng)生保健,2021,39(12):41-43.
[6] 鄭秋,張豪,肖世卓,等.自體肌腱單束重建前交叉韌帶股骨端Endobutton固定與Rigidfix固定的臨床對(duì)照研究[J].國際骨科學(xué)雜志,2020,41(6):365-370.
[7] 趙立連,盧明峰,邢基斯,等.Endobutton袢鋼板與Rigidfix橫穿釘股骨端固定自體腘繩肌腱重建前交叉韌帶的轉(zhuǎn)歸[J].中國組織工程研究,2020,24(3):359-365.
[8] 李嘉,樸海旺,常乾坤,等.前交叉韌帶解剖重建中不同股骨側(cè)固定方式對(duì)術(shù)后骨道擴(kuò)大的影響[J].實(shí)用醫(yī)學(xué)雜志,2018,34(7):1162-1165.
[9] 李雁,姜兆偉,趙興海,等.關(guān)節(jié)鏡下前交叉韌帶重建術(shù)股骨側(cè)2種不同固定方式的療效分析[J].中國骨與關(guān)節(jié)損傷雜志,2017,32(6):636-638.
[10] 許正文,蘇長征,龐濤,等.Endobutton與Rigidfi兩種固定方式對(duì)前交叉韌帶重建術(shù)后股骨隧道變化的分析[J].中華臨床醫(yī)師雜志(電子版),2017,11(7):1121-1125.
[11] EAJAZI A,MADADI F,MADADI F,et al.Comparison of different methods of femoral fixation anterior cruciate ligament reconstruction[J].Acta Med Iran,2013,51(7):444-448.
[12] BASAD E,KIPPER A,WüSTEN O A,et al.Comparative study after hamstring ACL plasty with RigidFix(pin fixation)and EndoButton(anchor fixation)[J].Z Orthop Unfall,2010,148(3):276-281.
[13] CINAR B M,AKPINAR S,HERSEKLI M A,et al.The effects of two different fixation methods on femoral bone tunnel enlargement and clinical results in anterior cruciate ligament reconstruction with hamstring tendon graft[J].Acta Orthop Traumatol Turc,2009,43(6):515-521.
[14] BAUMFELD J A,DIDUCH D R,RUBINO L J,et al.Tunnel widening following anterior cruciate ligament reconstruction using hamstring autograft:a comparison between double cross-pin and suspensory graft fixation[J].Knee Surg Sports Traumatol Arthrosc, 2008,16(12):1108-1113.
[15] 孫健,劉暢,鄭龍坡,等.Endobutton-Intrafix與Rigidfix-Intrafix固定自體腘肌腱重建前交叉韌帶的臨床對(duì)照研究[J].中國矯形外科雜志,2015,23(12):1086-1090.
[16] 涂俊,徐斌,徐洪港,等.Endobutton鋼板及Rigidfix橫穿釘固定自體腘繩肌腱重建前交叉韌帶[J].中國組織工程研究與臨床康復(fù),2011,15(4):633-638.
[17] 劉軍,魯厚根,廖全明,等.關(guān)節(jié)鏡下四股腘繩肌腱重建前交叉韌帶療效觀察[J].中國內(nèi)鏡雜志,2010,16(11):1189-1191.
[18] 李宏云,陳世益,陳疾忤,等.自體腘繩肌腱重建前交叉韌帶股骨端兩種固定方式的比較[J].中國運(yùn)動(dòng)醫(yī)學(xué)雜志,2010,29(1):22-25.
[19] 盧巖巖,王鴻雁,王明君,等.前交叉韌帶重建術(shù)聯(lián)合富血小板血漿關(guān)節(jié)腔注射治療前交叉韌帶損傷臨床療效和安全性的Meta分析[J].中醫(yī)正骨,2022,325(4):18-24.
[20] ONO Y,SATO Y,MUKAI H,et al.Randomized comparative study of suspension femoral fixation device in graft position maintenance in anterior cruciate ligament reconstruction:EndoButton CL vs TightRope RT[J].Asia Pac J Sports Med Arthrosc Rehabil Technol,2021,25:42-46.
[21] URIBE-ECHEVARRIA B,MAGNUSON J A,AMENDOLA A,et al.Anterior cruciate ligament reconstruction:a com-parative clinical study between adjustable and fixed length suspension devices[J].Iowa Orthop J,2020,40(1):121-127.
[22] 葉俊星,戴漣生,程飛,等.關(guān)節(jié)鏡下應(yīng)用RigidFix或RigidLoop固定在膝前交叉韌帶重建中的臨床療效比較[J].實(shí)用醫(yī)學(xué)雜志,2022,38(4):395-398.
[23] LEE D H,SON D W,SEO Y R,et al.Comparison of femoral tunnel widening after anterior cruciate ligament reconstruction using cortical button fixation versus transfemoral cross-pin fixation:a systematic review and meta-analysis[J].Knee Surg Relat Res,2020,32(1):11.
[24] GüRPINAR T,POLAT B,EREN M,et al.The effect of soft tissue interposition of the Endobutton on clinical results and on its postoperative migration after single-bundle anterior cruciate ligament reconstruction[J].Knee,2020,27(6):1980-1987.
[25] 程松苗,胡勇,陳君蓉,等.Rigidfix橫穿釘固定移植肌腱脛骨端重建前交叉韌帶的臨床研究[J].中醫(yī)正骨,2020,32(8):12-16.
[26] 袁偉,齊瑋,李春寶,等.RigidFix固定重建前交叉韌帶的療效研究[J].中華骨與關(guān)節(jié)外科雜志,2021,14(8):693-697.
[27] 羅建,高志朝,孟永駿,等.關(guān)節(jié)鏡輔助下克氏針或空心釘內(nèi)固定聯(lián)合雙Endobutton鋼板內(nèi)固定治療內(nèi)踝骨折合并下脛腓聯(lián)合分離[J].中醫(yī)正骨,2021,33(5):60-64.
[28] 劉日,高麗姝,魏海強(qiáng),等.關(guān)節(jié)鏡下脛骨側(cè)雙固定技術(shù)重建前交叉韌帶[J].中國骨與關(guān)節(jié)損傷雜志,2021,36(4):409-411.
[29] HEXTER A T,HING K A,HADDAD F S,et al.Decellularized porcine xenograft for anterior cruciate ligament reconstruction:a histological study in sheep comparing cross-pin and cortical suspensory femoral fixation[J].Bone Joint Res,2020,9(6):293-301.
[30] WANG J,FAN H Q,DAI W,et al.Safety of the application of Rigidfix cross-pin system via different tibial tunnels for tibial fixation during anterior cruciate ligament reconstruction[J].BMC Musculoskelet Disord,2020,21(1):736.
(收稿日期:2022-05-11 本文編輯:時(shí)紅磊)

相似文獻(xiàn)/References:

[1]田玉鵬,湯善兵,褚向明,等.關(guān)節(jié)鏡下Endobutton鋼板聯(lián)合指骨鋼板內(nèi)固定治療 新鮮RockwoodⅢ型肩鎖關(guān)節(jié)脫位[J].中醫(yī)正骨,2015,27(05):21.

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備注/Memo:
通訊作者:郭馬瓏 E-mail:[email protected]
更新日期/Last Update: 1900-01-01