May 05

De adentro hacia afuera Versus todo en el interior la reparación de las roturas de menisco Aislado: una revisión sistemática actualizada / Inside-Out Versus All-Inside Repair of Isolated Meniscal Tears: An Updated Systematic Review

Fuente
Este artículo es originalmente publicado en:
De:
Am J Sports Med. 2016 Mar 17. pii: 0363546516632504. [Epub ahead of print]
Todos los derechos reservados para:
© 2016 The Author(s).

Abstract

BACKGROUND:

Meniscal tears are common in the young, active population. In this group of patients, repair is advised when possible. While inside-out repair remains the standard technique, recent advances in all-inside repair devices have led to a growth in their popularity. Previous reviews on the topic have focused on outdated implants of limited clinical relevance.

PURPOSE:

To determine the difference in failure rates, functional outcomes, and complications between inside-out and modern all-inside repairs.

CONCLUSION:

The quality of the evidence comparing inside-out and all-inside meniscal repair remains low, with a majority of the literature being evidence level 4 studies. In this review comparing modern all-inside devices with inside-out repair, no differences were seen in failure rates, functional outcome scores, or complication rates.

Resumen

ANTECEDENTES:
Las rupturas de meniscos son comunes en la población joven y activa. En este grupo de pacientes, se recomienda siempre que sea posible la reparación. Mientras que la reparación “inside-out ” sigue siendo la técnica estándar, los recientes avances en los dispositivos de reparación de “all-inside” han dado lugar a un aumento de su popularidad. Los comentarios anteriores sobre el tema se han centrado en los implantes no actualizadas de relevancia clínica limitada.
PROPÓSITO:
Para determinar la diferencia en las tasas de fracaso, los resultados funcionales y complicaciones entre los de “inside-out” y modernos reparaciones de “all-inside”.
CONCLUSIÓN:
La calidad de las pruebas que comparan “inside-out” y “all-inside” de la reparación meniscal sigue siendo baja, con una mayoría de la literatura siendo nivel de evidencia 4 estudios. En esta revisión, la comparación de los dispositivos todo-en el interior moderno con la reparación de dentro a fuera, no se observaron diferencias en las tasas de fracaso, las puntuaciones de resultado funcionales, o las tasas de complicaciones.

© 2016 The Author(s).

KEYWORDS:

all inside; bucket handle meniscus tear; inside-out; knee; meniscal repair; meniscus; surgical technique

PMID:26989072 [PubMed – as supplied by publisher]

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