{"title":"关节镜辅助桡骨远端骨折的手术治疗不会带来更好的放射学和功能结果：一项随机对照试验的系统回顾和荟萃分析。","authors":"Hyun-Gyu Seok, Jeong-Jin Park, Sam-Guk Park","doi":"10.1016/j.arthro.2025.01.026","DOIUrl":null,"url":null,"abstract":"<p><p>This article has been withdrawn because Arthroscopy: The Journal of Arthroscopic and Related Surgery has transferred to a new Publisher. Once finalised, the article will be available on the new Publisher's website. For more information, please see The Arthroscopy Journals Are Changing Publisher- AANA The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies-and-standards/article-withdrawal.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4000,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"WITHDRAWN: Arthroscopy Assistance in the Surgical Management of Distal Radius Fractures Does Not Result in Superior Radiologic and Functional Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials.\",\"authors\":\"Hyun-Gyu Seok, Jeong-Jin Park, Sam-Guk Park\",\"doi\":\"10.1016/j.arthro.2025.01.026\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This article has been withdrawn because Arthroscopy: The Journal of Arthroscopic and Related Surgery has transferred to a new Publisher. Once finalised, the article will be available on the new Publisher's website. For more information, please see The Arthroscopy Journals Are Changing Publisher- AANA The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies-and-standards/article-withdrawal.</p>\",\"PeriodicalId\":55459,\"journal\":{\"name\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":5.4000,\"publicationDate\":\"2025-01-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.arthro.2025.01.026\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.arthro.2025.01.026","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
目的：通过关节镜组与对照组的功能和影像学结果比较，评价辅助关节镜在桡骨远端骨折手术治疗中的疗效。方法：我们检索了PubMed、Embase、Web of Science和Cochrane Library数据库，以比较手术伴或不伴关节镜的患者的临床结果。筛选研究后，我们确定了6个随机对照试验。我们分析了放射学结果、活动范围、功能评分、握力、手术时间和并发症发生率。采用标准化平均差（SMD）分析两组结果的差异。p < 0.05为差异有统计学意义。结果：纳入6项研究，共纳入455例患者。本分析结果表明，关节镜辅助的使用并没有产生更好的放射学结果和功能结果，除了桡骨偏差(SMD = 0.96；95% ci = 0.36, 1.55；I2 = 69%)和尺偏(SMD = 0.69；95% ci = 0.38, 1.00；I2 = 16%)。此外，关节镜组手术时间更长(SMD = 0.65；95% ci = 0.1, 1.2；I2 = 81%)。两组患者握力及并发症发生率无显著差异。结论：本分析结果表明，关节镜辅助手术治疗DRF在影像学结果、功能评分、握力和并发症方面并没有显著提高，即使关节镜辅助病例的活动范围（桡骨偏差和尺侧偏差）更好。考虑到辅助关节镜手术时间的延长，辅助关节镜在累及关节的桡骨远端骨折手术治疗中的疗效尚不明确。证据水平：二级，一级和二级研究的荟萃分析。
WITHDRAWN: Arthroscopy Assistance in the Surgical Management of Distal Radius Fractures Does Not Result in Superior Radiologic and Functional Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
This article has been withdrawn because Arthroscopy: The Journal of Arthroscopic and Related Surgery has transferred to a new Publisher. Once finalised, the article will be available on the new Publisher's website. For more information, please see The Arthroscopy Journals Are Changing Publisher- AANA The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies-and-standards/article-withdrawal.
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.
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