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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Incidence of Associated Lesions of Multiligament Knee Injuries: A Systematic Review and Meta-analysis
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Incidence of Associated Lesions of Multiligament Knee Injuries: A Systematic Review and Meta-analysis

机译：相关病变的多重膝关节伤害的发病率：系统审查和荟萃分析

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Background: The incidence of concomitant injuries, including meniscal and cartilage injuries, has not been adequately reported in previous studies on multiligament knee injury (MLKI) because their primary focal points have been the degree of ligament injury, treatment strategy, involvement of other soft tissues, and neurovascular injury. Purpose: To analyze the incidence of associated lesions in MLKIs, including medial and lateral meniscal injuries, cartilage lesions, and complications. Study Design: Systemic review; Level of evidence, 4. Methods: The PubMed, Embase, Cochrane Library, CINAHL, and Scopus databases were searched between inception and April 30, 2020. Studies were included if they reported the incidence rates of medial and/or lateral meniscal tears and cartilage injuries in cases of MLKIs. For the meta-analysis, data were extracted on clinical outcomes measured according to the number of medial and/or lateral meniscal tears, cartilage injuries, and complications. Results: A total of 45 studies were included in the MLKI analysis (3391 patients). The pooled rate of medial meniscal tears was 30.4% (95% CI, 24.1%-37.1%; P & .0001; I ~(2) = 85.8%). The pooled rate of lateral meniscal tears was 27.5% (95% CI, 20.3%-35.3%; P & .0001; I ~(2) = 89.6%). The pooled rate of cartilage injuries was 27.5% (95% CI, 22.1%-33.3%; P & .0001; I ~(2) = 86.8%). The pooled rates of peroneal nerve injuries, vascular injuries, and arthrofibrosis were 19.2% (95% CI, 14.2%-24.7%; P & .001; I ~(2) = 81.3%), 18.4% (95% CI, 13.2%-24.3%; P & .0001; I ~(2) = 81.0%), and 11.2% (95% CI, 8.1%-14.7%; P = .0018; I ~(2) = 54.0%), respectively. Conclusion: The pooled rates of meniscal tears and cartilage injuries concomitant with MLKIs were high, ranging from 27% to 30%, and the pooled rates of peroneal nerve injury, vascular injury, and arthrofibrosis were considerable, ranging from 11% to 19%. The influence of these associated lesions on clinical results should be evaluated in future clinical studies.
机译：背景：伴随损伤的发病率，包括半月板和软骨损伤，并未在以前的多重膝关节损伤（MLKI）的研究中得到充分报告，因为它们的主要焦点是韧带损伤，治疗策略，其他软组织的参与和神经血管损伤。目的：分析MLKIS中相关病变的发生率，包括内侧和横向半月板损伤，软骨病变和并发症。研究设计：全身评论;证据级别，4.方法：开始和2020年4月30日之间搜查了Pubmed，Embase，Cochrane图书馆，Cinahl和Scopus数据库。如果他们报告了内侧和/或侧半月板眼泪和软骨的发病率，则包括研究MLKIS病例损伤。对于荟萃分析，根据内侧和/或横向半月板撕裂，软骨损伤和并发症测量的临床结果提取数据。结果：MLKI分析中共有45项研究（3391名患者）。内侧半月岩泪泪的汇集率为30.4％（95％CI，24.1％-37.1％; P＆amp; LT; .0001; I〜（2）= 85.8％）。侧半月板眼泪的汇集率为27.5％（95％CI，20.3％-35.3％; P＆amp; LT; .0001; I〜（2）= 89.6％）。软骨损伤的汇集率为27.5％（95％CI，22.1％-33.3％; P＆amp; LT; .0001; I〜（2）= 86.8％）。池神经损伤，血管损伤和节肢动物的汇总率为19.2％（95％CI，14.2％-24.7％; P＆amp; LT; .001; I〜（2）= 81.3％），18.4％（95％） CI，13.2％-24.3％; P＆amp; .0001; I〜（2）= 81.0％，11.2％（95％CI，8.1％-14.7％; P = .0018; I〜（2）分别= 54.0％）。结论：半月岩眼泪和软骨损伤的汇总率高，范围从27％〜30％，宫腔神经损伤，血管损伤和关节纤维化的合并率相当大，范围从11％到19％。这些相关病变对临床结果的影响应在未来的临床研究中进行评估。

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