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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Operative versus non-operative management following Rockwood grade III acromioclavicular separation: a meta-analysis of the current evidence base
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Operative versus non-operative management following Rockwood grade III acromioclavicular separation: a meta-analysis of the current evidence base

机译：Rockwood III级肩锁骨分离术后的手术与非手术管理：对当前证据基础的荟萃分析

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class="Heading">Background class="Para">Whilst there is little debate over the treatment of Rockwood grade V and VI acromioclavicular dislocation, the management of grade III acromioclavicular dislocation remains less clear. The purpose of this study was to compare the clinical outcomes of patients managed operatively and non-operatively following grade III acromioclavicular dislocation. class="Heading">Materials and methods class="Para">A systematic review of published and unpublished material was conducted. All included studies were reviewed against the PEDro appraisal tool. Where appropriate, a meta-analysis of pooled results was conducted. class="Heading">Results class="Para">Among 724 citations, six studies met the eligibility criteria. All six studies were retrospective case series (level 4 evidence). The findings of this study indicated that operative management of grade III acromioclavicular dislocation results in a better cosmetic outcome (P??0.0001) but greater duration of sick leave compared to non-operative management (P??0.001). There was no difference in strength, pain, throwing ability and incidence of acromioclavicular joint osteoarthritis compared to non-operative management. Only one study recorded and showed a higher Constant score for operative management compared to non-operative management (P?=?0.003). class="Heading">Conclusions class="Para">There is a lack of well-designed studies in the literature to justify the optimum mode of treatment of grade III acromioclavicular dislocations.
机译：class =“ Heading”>背景 class =“ Para”>尽管对Rockwood V级和VI级肩锁关节脱位的治疗尚无争议，但对III级肩锁关节脱位的治疗仍不清楚。这项研究的目的是比较三级肩锁关节脱位术后手术和非手术治疗的患者的临床结果。 class =“ Heading”>材料和方法 class =“ Para “>对已发布和未发布的材料进行了系统的审查。所有纳入的研究均通过PEDro评估工具进行了审查。在适当的情况下，对汇总结果进行了荟萃分析。 class =“ Heading”>结果 class =“ Para”>在724篇文献中，有六项研究符合资格标准。所有六项研究均为回顾性病例系列（4级证据）。这项研究的结果表明，三级肩锁关节脱位的手术治疗可带来更好的美容效果（ P ？<？0.0001），但病假时间要比非手术更长管理（ P ？<？0.001）。与非手术治疗相比，力量，疼痛，投掷能力和肩锁关节骨关节炎的发生率没有差异。只有一项研究记录并显示，与非手术管理相比，手术管理的恒定评分更高（ P ？=？0.003）。 class =“ Heading” >结论 class =“ Para”>文献中缺乏精心设计的研究来证明对III级肩锁关节脱位的最佳治疗方法的合理性。

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