【摘要】 目的系统评价可吸收螺钉和金属挤压螺钉固定重建前交叉韧带的临床效果。方法计算机检索Cochrane图书馆、PubMed、EMbase、CBM、CNKI、VIP等数据库,并辅以手工检索,收集可吸收螺钉和金属挤压螺钉比较重建前交叉韧带的随机对照试验(RCT),根据Jadad量表评价纳入研究的方法学质量,并使用RevMan5.0对结果进行Meta分析。结果共纳入11个RCT,包括935例前交叉韧带损伤患者。Meta分析结果显示,与金属挤压螺钉相比,可吸收螺钉固定后Lysholm评分更低,但两者在Lanchman试验结果、IKDC评价、KT1000关节动度仪测量结果及外侧轴移动作检查中的差异无统计学意义。结论可吸收螺钉可作为重建前交叉韧带可行而有效的固定方法,但因其种类较多、成分复杂,尚需临床研究进一步证实。更多还原

【Abstract】 Objective To compare clinical outcome of bioabsorbable interference screws(BS) with metal Interference screws(MS) for restruction of anterior cruciate ligament(ACL).Methods The electronic databases(PubMed,EMbase,Cochrane Central Register of Controlled Trials,CBM,CNKI,and VIP) were searched in order to retrieve randomized controlled trials(RCTs) about comparing BS with MS for restruction of ACL.In addition,reference lists from original studies and review articles were handsearched.e Jadad’s scale and Cochrane collaboration’s RevMan 5.0 so ware were used for assessing trial methodological quality and data analyses.Results Eleven RCTs were included.ere were 935 participants that met inclusion criteria in all studies.Results of Meta-analyses showed the MS group had a higher Lysholm score.However,no signi cant differences were found in Lanchman Test,IKDC Data and KT1000 result between patients treated by BS and by MS.Conclusion Bioabsorbable interference screws provide equivalent clinical outcomes compared with metal interference screws.However,further con rmation is required because of varieties of types and complex compositions.更多还原