Các khuyết tật sụn bánh chè: một đánh giá về một thực thể thách thức

Wiley - Tập 19 - Trang 1990-2001 - 2011
George Mouzopoulos1, Carlo Borbon1, Rainer Siebold1
1Center for Knee and Foot Surgery, ATOS Clinic, Heidelberg, Germany

Tóm tắt

Mục tiêu của nghiên cứu này là thực hiện một đánh giá về việc quản lý các khuyết tật sụn bánh chè, xác định các yếu tố tiên đoán để có kết quả lâm sàng tốt hơn và đề xuất một thuật toán điều trị cho thực thể thách thức này. Chúng tôi đã tiến hành đánh giá nhiều cơ sở dữ liệu, đánh giá kết quả lâm sàng sau khi điều trị tổn thương sụn bánh chè. Do sự không đồng nhất của dữ liệu, không thể thực hiện một phân tích tổng hợp. Mười hai nghiên cứu đã được xác định để đưa vào. Dựa trên các kết quả lâm sàng của những nghiên cứu này, một thuật toán điều trị đã được đề xuất. Các kết quả lâm sàng sau khi sửa chữa khuyết tật sụn bánh chè phụ thuộc vào vị trí và kích thước của khuyết tật khớp, độ tuổi của bệnh nhân, sự tái tạo thành công gờ bánh chè, sự sửa chữa cơ chế giãn cơ không đúng vị trí và sự tồn tại đồng thời của chứng thoái hoá sụn. Phương pháp điều trị tối ưu cho các khuyết tật sụn của bánh chè vẫn chưa rõ ràng. Cần có thêm nhiều nghiên cứu tiềm năng, nhằm xác định các kỹ thuật nào có hiệu quả về chi phí, đặc biệt là trong dài hạn.

Từ khóa

#khuyết tật sụn bánh chè #điều trị #thuật toán #kết quả lâm sàng #chẩn đoán

Tài liệu tham khảo

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