Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, USA.
Arthroscopy. 2010 Jan;26(1):112-20. doi: 10.1016/j.arthro.2009.09.002.
Articular cartilage injuries commonly occur in conjunction with anterior cruciate ligament (ACL) injury. The exact incidence of this combined injury pattern, as well as the optimal treatment for it, has not been well studied in the literature. The purpose of this study was to systematically review the literature regarding the incidence of concomitant articular cartilage and ACL injury and the results of combined surgical treatment of these injuries.
We performed a systematic review of studies investigating the incidence of articular cartilage injury in conjunction with ACL injury and the results of combined surgical treatment for these injuries.
On the basis of 5 studies in the literature, the incidence of severe articular cartilage injury in acute ACL tears is between 16% and 46%. On the basis of 3 studies on combined osteochondral autografts and ACL reconstruction and 2 studies on combined autologous chondrocyte implantation and ACL reconstruction, patients can have reasonable short-term outcomes after combined surgery.
Articular cartilage injury is often encountered at the time of ACL reconstruction, and combined surgery can result in reasonable outcomes. Additional studies are needed to better define both the incidence of combined injury and the outcome, particularly in the long term, after these procedures.
关节软骨损伤常与前交叉韧带（ACL）损伤同时发生。这种联合损伤模式的确切发生率以及对其的最佳治疗方法尚未在文献中得到很好的研究。本研究的目的是系统地回顾文献中关于伴随的关节软骨和 ACL 损伤的发生率以及这些损伤的联合手术治疗的结果。
我们对研究关节软骨损伤与 ACL 损伤同时发生以及这些损伤的联合手术治疗结果的文献进行了系统回顾。
根据文献中的 5 项研究，急性 ACL 撕裂时严重关节软骨损伤的发生率在 16%至 46%之间。根据 3 项关于联合骨软骨自体移植物和 ACL 重建的研究和 2 项关于联合自体软骨细胞移植和 ACL 重建的研究，联合手术后患者可以获得合理的短期结果。
在 ACL 重建时经常会遇到关节软骨损伤，联合手术可以获得合理的结果。需要进一步的研究来更好地确定这些手术的联合损伤发生率和结果，特别是在长期。
