| 华义,王华,杨旭.Roux-Goldthwait术治疗儿童和青少年髌骨脱位的临床疗效：系统性文献综述.骨科,2025,16(5): 413-418. |
| Roux-Goldthwait术治疗儿童和青少年髌骨脱位的临床疗效：系统性文献综述 |
| Clinical outcome of Roux-Goldthwait procedure for treating patellar dislocation in children and adolescents: a systematic review |
| 投稿时间：2025-03-27 |
| DOI：10.3969/j.issn.1674-8573.2025.05.005 |
| 中文关键词: Roux-Goldthwait 骨骺未闭 髌骨脱位 系统综述 |
| 英文关键词: Roux-Goldthwait Open physes Patellar dislocation Systematic review |
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| 摘要点击次数: 135 |
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| 中文摘要: |
| 目的 通过系统性回顾文献，分析Roux-Goldthwait术治疗儿童及青少年髌骨脱位的临床疗效和并发症。方法 检索中国知网、万方数据知识服务平台、PubMed-MEDLINE、Embase和Web of Science数据库，获取有关Roux-Goldthwait术治疗儿童和青少年髌骨脱位临床疗效的文献，检索时限均为建库至2024年10月。由两名研究者独立筛选文献并提取相关信息，包括文献的基本信息、手术技术、临床结果以及并发症的数据，并采用非随机对照研究方法学评价指标（Methodological Index for Non-randomized Studies，MINORS）对纳入的文献进行质量评估。结果 共纳入8篇文献，7项非对照性研究的MINORS平均分为12分，1项对照性研究的MINORS评分为20分。共105例病人（135膝），其中55.2%的病人为习惯性髌骨脱位，23.8%为患有唐氏综合征的髌骨脱位，15.2%为固定性脱位，5.7%为复发性髌骨脱位。病人手术时平均年龄为10岁（6至14岁）。各项研究的平均随访时间为75个月（43至134个月）。所有纳入的研究都采用Roux-Goldthwait术联合其他近端或远端重排的方法。术后平均再次脱位率为12.4%，总感染率为4.8%，所有病人均未出现术后生长停滞。结论 Roux-Goldthwait是一种有效、可靠、可改善骨骺未闭病人髌骨脱位的远端重排手术方法，临床效果良好，再脱位率低，且无骨骺损伤的风险。 |
| 英文摘要: |
| Objective To analyze the clinical outcomes and complications of the Roux-Goldthwait procedure in treating patellar dislocation in children and adolescents through a systematic review of the literature. Methods A systematic search was conducted in the CNKI, Wan fang Data Knowledge Service Platform, PubMed-MEDLINE, Embase, and Web of Science databases to retrieve literature on the clinical outcomes of the Roux-Goldthwait procedure for patellar dislocation in children and adolescents. The search timeframe spanned from the inception of each database to October 2024. Two researchers independently screened the literature and extracted relevant information, including the general characteristics, surgical techniques, clinical outcomes, and complication data. The methodological quality of the included studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS). Results A total of 8 studies was included, comprising 7 non-comparative studies with an average MINORS score of 12 and 1 comparative study with a MINORS score of 20. The studies involved 105 patients (135 knees), of whom 55.2% had habitual patellar dislocation, 23.8% had patellar dislocation associated with Down syndrome, 15.2% had fixed dislocation, and 5.7% had recurrent patellar dislocation. The mean age at surgery was 10 years (range: 6 to 14 years). The average follow-up duration across studies was 75 months (range: 43 to 134 months). All included studies utilized the Roux-Goldthwait procedure in combination with other proximal or distal realignment techniques. The mean postoperative re-dislocation rate was 12.4%, and the overall infection rate was 4.8%. None of the patients experienced postoperative growth arrest. Conclusion The Roux-Goldthwait procedure is an effective and reliable distal realignment technique for managing patellar dislocation in patients with open physes. It demonstrates favorable clinical outcomes, a low re-dislocation rate, and no risk of physeal damage. |
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