Comparação da evolução da osteoartrose após sutura meniscal versus tratamento conservador na lesão de menisco aguda e isolada
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Arquivos
Data
2024-06
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
TABET, Ana Souza Campos
Orientador
QUINTANILHA, Natália
Coorientador
Resumo
RESUMO
Objetivo: Investigar e esclarecer se há diferença significativa na evolução da OA entre pacientes submetidos à sutura meniscal e aqueles tratados apenas com fisioterapia após lesão meniscal traumática isolada.
Métodos: Trata-se de uma revisão integrativa, com coleta de dados de janeiro 2022 até março 2024 e uso dessas palavras-chave durante sua pesquisa: “meniscus or menisci injury” (lesão meniscal ou lesão de menisco), “knee osteoarthritis” (osteoartrose de joelho), “physiotherapy” ou “conservative treatment” (fisioterapia ou tratamento conservador), “suture” ou “repair” (sutura ou reparo) e "long-term outcomes" (resultado à longo prazo), e os operadores boleanos “and” (e) e “or” (ou). Um dos critérios de exclusão mais importante é lesões associadas ou lesões anteriores no joelho incluído na pesquisa.
Resultados: Para produção deste estudo, foram selecionados 25 artigos científicos. Sendo esses compostos pelas plataformas de pesquisas: Pubmed (n=15), Revista Brasileira de Ortopedia (n=3), Cochrane (n=1), JOSPT (n=1), BJM (n=3), Google Scholar (n=2). Somente 2 estudos comparavam diretamente a evolução da OA com as técnicas de sutura vs tratamento conservador, e ambos chegam nas conclusões que a diferença entre elas é nula.
Conclusão: Ambas as técnicas aceleram o desenvolvimento da OA no joelho. Porém, baseado nos achados desta revisão integrativa, não foi encontrada diferença significativa na evolução da OA à longo prazo quando comparadas as duas intervenções. Esse estudo também destaca a necessidade de mais pesquisas na área.
Palavras-chave: lesão de menisco, osteoartrose, fisioterapia, sutura ou reparo e tratamento conservador ou comparação tratamentos.
ABSTRACT Objective: To investigate and clarify whether there is a significant difference in the progression of osteoarthritis (OA) between patients undergoing meniscal suturing and those treated solely with physiotherapy following isolated traumatic meniscal injury. Methods: This is an integrative review, with data collection from January 2022 to March 2024, using the following keywords during the research: “meniscus or menisci injury”, “knee osteoarthritis”, “physiotherapy” or “conservative treatment”, “suture” or “repair”, and "long-term outcomes", along with the Boolean operators “and” and “or”. One of the most important exclusion criteria is associated injuries or previous injuries to the knee included in the article. Results: For the production of this study, 25 articles were selected from the following research platforms: PubMed (n=15), Revista Brasileira de Ortopedia (n=3), Cochrane (n=1), JOSPT (n=1), BJM (n=3), and Google Scholar (n=2). Only 2 studies directly compared the progression of OA with suturing techniques vs. conservative treatment, and both concluded that there was no significant difference between them. Conclusion: Both techniques accelerate the development of OA in the knee. However, based on the findings of this integrative review, no significant difference was found in the long-term progression of OA when comparing the two interventions. This study also highlights the need for further research in this area. Key-words: meniscus injury, osteoarthritis, physiotherapy, suture or repair, conservative treatment or treatment comparison.
ABSTRACT Objective: To investigate and clarify whether there is a significant difference in the progression of osteoarthritis (OA) between patients undergoing meniscal suturing and those treated solely with physiotherapy following isolated traumatic meniscal injury. Methods: This is an integrative review, with data collection from January 2022 to March 2024, using the following keywords during the research: “meniscus or menisci injury”, “knee osteoarthritis”, “physiotherapy” or “conservative treatment”, “suture” or “repair”, and "long-term outcomes", along with the Boolean operators “and” and “or”. One of the most important exclusion criteria is associated injuries or previous injuries to the knee included in the article. Results: For the production of this study, 25 articles were selected from the following research platforms: PubMed (n=15), Revista Brasileira de Ortopedia (n=3), Cochrane (n=1), JOSPT (n=1), BJM (n=3), and Google Scholar (n=2). Only 2 studies directly compared the progression of OA with suturing techniques vs. conservative treatment, and both concluded that there was no significant difference between them. Conclusion: Both techniques accelerate the development of OA in the knee. However, based on the findings of this integrative review, no significant difference was found in the long-term progression of OA when comparing the two interventions. This study also highlights the need for further research in this area. Key-words: meniscus injury, osteoarthritis, physiotherapy, suture or repair, conservative treatment or treatment comparison.
Palavras-chave
lesão de menisco, osteoartrose, fisioterapia ou tratamento conservador, sutura ou reparo, comparação tratamentos