Erasmus MC University Medical Center Rotterdam, Orthopaedic Department, PO Box 2040, 3000 CA Rotterdam, The Netherlands.
Br J Sports Med. 2009 May;43(5):347-51. doi: 10.1136/bjsm.2008.049403. Epub 2008 Jul 4.
To compare long term outcome of highly active patients with anterior cruciate ligament ruptures treated operatively versus non-operatively.
We reviewed high level athletes with an anterior cruciate ligament rupture on either MRI or arthroscopic evaluation more than 10 years previously, who were treated conservatively. They were pair-matched with patients who had had an anterior cruciate ligament reconstruction with bone-patella-tendon-bone, with respect to age, gender and Tegner activity score before injury.
In total 50 patients were pair-matched.
We found no statistical difference between the patients treated conservatively or operatively with respect to osteoarthritis or meniscal lesions of the knee, as well as activity level, objective and subjective functional outcome. The patients who were treated operatively had a significantly better stability of the knee at examination.
We conclude that the instability repair using a bone-patella-tendon-bone anterior cruciate ligament reconstruction is a good knee stabilising operation. Both treatment options however show similar patient outcome at 10 year follow up.
比较手术与非手术治疗高度活跃的前交叉韧带撕裂患者的长期结果。
我们回顾了 10 多年前在前交叉韧带撕裂的 MRI 或关节镜评估中接受保守治疗的高水平运动员，他们与接受前交叉韧带重建的患者相匹配，这些患者使用骨-髌腱-骨进行重建，匹配的因素包括年龄、性别和受伤前的 Tegner 活动评分。
共有 50 名患者进行了配对。
我们发现保守治疗和手术治疗的患者在膝关节骨关节炎或半月板损伤方面，以及活动水平、客观和主观功能结果方面均无统计学差异。手术治疗的患者在检查时膝关节的稳定性明显更好。
我们得出结论，使用骨-髌腱-骨前交叉韧带重建进行不稳定修复是一种良好的膝关节稳定手术。然而，两种治疗方案在 10 年随访时都显示出相似的患者结果。
