膝关节外侧关节外腱鞘切除术:适当的研究设计对于减少骨科文献中相互矛盾的研究结果和不必要的争议至关重要。

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引用次数: 0

摘要

膝关节外侧关节外腱鞘切除术(LEAPS)可降低前交叉韧带重建时的移植物断裂率。然而,在膝关节前交叉韧带翻修重建中,LEAPS 的研究较少,且仍存在争议。许多研究支持联合手术(前交叉韧带+LEAPS),但也有一些研究不支持。当文献中的患者队列较小且随访时间较短时,往往会出现相互矛盾的结果。低质量研究的发表可能会不必要地引起争议。未来的研究应注重足够的研究力量、适当的设计和方法,包括考虑潜在混杂因素的配对或随机化、适当的统计分析以及避免自旋偏倚。
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Editorial Commentary: Knee Lateral Extra-articular Tenodesis Procedures: Appropriate Study Design Is Essential for Reducing Conflicting Findings and Unnecessary Controversy in the Orthopaedic Literature
Knee lateral extra-articular tenodesis procedures (LEAPs) reduce graft rupture rates when performed at the time of anterior cruciate ligament (ACL) reconstruction. However, in the setting of revision ACL reconstruction, LEAPs are less studied and remain controversial. Many studies support combined procedures (ACL + LEAP), yet others do not. When the literature comprises small patient cohorts and short follow-up periods, conflicting results often arise. The controversy surrounding them may be unnecessarily generated by the publication of low-quality studies. Future studies should focus on adequate power; appropriate design and methodology, including matching or randomization to account for potential confounding factors; proper statistical analyses; and avoidance of spin bias.
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来源期刊
CiteScore
9.30
自引率
17.00%
发文量
555
审稿时长
58 days
期刊介绍: Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
期刊最新文献
Erect weight-bearing pelvic radiographs are superior to supine radiographs for diagnosis of mixed type acetabular retroversion plus developmental dysplasia hip deformity. Persistence of Labral Tears and Resolution of Paralabral Cysts with 2-year MRI analysis after Periacetabular Osteotomy (PAO) for Hip Dysplasia. Prescription Testosterone is Associated with an Increased Risk of Anterior Cruciate Ligament Injury. Adductor tubercle appears more posterior on radiographs of knees with trochlear dysplasia. Author Reply to Editorial Comment "Autologous Minced Repair of Knee Cartilage Is Safely and Effectively Performed Using Arthroscopic Techniques".
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