使用髌腱自体移植物进行前交叉韧带重建术后的骨关节炎
Osteoarthritis after anterior cruciate ligament reconstruction using a patellar tendon autograft.
作者信息
Seon Jong Keun, Song Eun Kyoo, Park Sang Jin
机构信息
Center for Joint Disease, Chonnam National University Hwasun Hospital, 519-809, Cheollamando, Republic of Korea.
出版信息
Int Orthop. 2006 Apr;30(2):94-8. doi: 10.1007/s00264-005-0036-0. Epub 2006 Jan 25.
Abstract
We studied 58 knees that underwent anterior cruciate ligament (ACL) reconstruction using a patella tendon autograft. The mean age at reconstruction was 30.4 (18-58) years, and the average follow-up was 11.2 (8.6-13.8) years. The presence of osteoarthritis was assessed radiographically using Kellgren and Lawrence's classification. Osteoarthritis was detected in the medial compartment in 25 cases and in the lateral compartment in 14 cases. Significant independent predictors of osteoarthritis were: accompanying meniscal injury [odds ratio (OR) 9.19), p<0.001], an interval of more than 6 months from injury to reconstruction (OR 4.77, p=0.021), and age more than 25 years at reconstruction (OR 3.37, p=0.034). However, no statistically significant correlation was found between the development of osteoarthritis and clinical outcome or radiological stability.
摘要
我们研究了58例采用自体髌腱进行前交叉韧带（ACL）重建的膝关节。重建时的平均年龄为30.4岁（18 - 58岁），平均随访时间为11.2年（8.6 - 13.8年）。采用Kellgren和Lawrence分类法通过影像学评估骨关节炎的存在情况。在内侧间室检测到骨关节炎25例，在外侧间室检测到14例。骨关节炎的显著独立预测因素为：伴有半月板损伤[比值比（OR）9.19，p<0.001]、受伤至重建间隔超过6个月（OR 4.77，p = 0.021）以及重建时年龄超过25岁（OR 3.37，p = 0.034）。然而，未发现骨关节炎的发生与临床结果或影像学稳定性之间存在统计学上的显著相关性。
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