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首页> 外文期刊>Sports health >Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis
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Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis

机译：半月板同种异体移植后返回体育活动：在什么水平和费用？ 系统审查和荟萃分析

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Context: Meniscal injuries are common among both sport- and non–sport-related injuries, with over 1.7 million meniscal surgeries performed worldwide every year. As meniscal surgeries become more common, so does meniscal allograft transplantation (MAT). However, little is known about the outcomes of MAT in active patients who desire to go back to preinjury activities. Objective: The purpose of this systematic review and meta-analysis was to evaluate return to sport, clinical outcome, and complications after MAT in sport-active patients. Data Sources: A systematic search of MEDLINE, EMBASE, and CINAHL electronic databases was performed on February 25, 2018. Study Selection: Studies of level 1 through 4 evidence looking at MAT in physically active patients with reported return to activity outcomes and at least 2-year follow-up were included. Study Design: Systematic review and meta-analysis. Level of Evidence: Level 4. Data Extraction: Details of sport-related outcomes and reoperations were extracted and pooled in a meta-analysis. Results: Nine studies were included in this systematic review. A majority (77%) of athletes and physically active patients were able to return to sport after MAT; two-thirds were able to perform at preinjury levels. Graft-related reoperations were reported in 13% of patients, while the joint replacement rate with partial or total knee prosthesis was 1.2%. Conclusion: Physical activity after MAT appears possible, especially for low-impact sports. However, because of the limited number of studies, their low quality, and the short-term follow-up, the participation recommendation for high-impact and strenuous activities should be considered with caution until high-quality evidence of long-term safety becomes available.
机译：背景：血栓损伤在运动和非运动相关的伤害中都是常见的，每年都有超过170万个半月板手术。月球手术变得更加普遍，月经混合物同种异体移植（垫）也是如此。然而，对于渴望回到前津属活动的活跃患者中，对垫子的结果毫无知之甚少。目的：这种系统审查和荟萃分析的目的是评估体育活动患者垫子后返回体育，临床结果和并发症。数据来源：2018年2月25日进行了系统搜索。研究选择：研究选择：1至4级证据，在物理活性患者中看着据报道返回活动结果，至少2 - 包括后续随访。研究设计：系统评论和荟萃分析。证据级别：级别4.数据提取：在荟萃分析中提取和汇集体育相关结果和重新进展的细节。结果：九项研究包括在该系统审查中。大多数（77％）的运动员和身体活跃的患者能够在垫子后恢复运动;三分之二的人能够在盛津的水平上表演。在13％的患者中报告了与移植相关的重新进展，而部分或全膝关节假体的关节置换率为1.2％。结论：垫子似乎有可能的身体活动，特别是对于低影响运动。然而，由于研究数量有限，它们的低质量和短期随访，应谨慎地考虑对高撞击和剧烈活动的参与推荐，直到长期安全的高质量证据可用。

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