The Noyes Knee Institute, Cincinnati Sportsmedicine and Orthopaedic Center, The Jewish Hospital-Mercy Health, 10663 Montgomery Rd., Cincinnati, OH, 45242, USA.
Knee Surg Sports Traumatol Arthrosc. 2018 Jul;26(7):1950-1958. doi: 10.1007/s00167-017-4658-8. Epub 2017 Jul 27.
To determine sports activities achieved after meniscus transplantation and if associations exist between sports activity levels and transplant failure or progression of tibiofemoral osteoarthritis (OA).
A systematic search was performed using PubMed and Cochrane online databases. Inclusionary criteria were English language, clinical trials published from 1996 through May 2017, minimum 2 years of follow-up, and sports activity data reported.
Twenty-eight studies were included in which 1521 menisci were implanted into 1497 patients. The mean age was 34.3 ± 6.7 years, and the mean follow-up was 5.0 ± 3.7 years. Details on sports activities were provided in 7 studies (285 patients) that reported 70-92% of patients returned to a wide variety of sports activities. Mean Tegner activity scores were reported in 24 investigations. The mean score was <5 in 58% of these studies, indicating many patients were participating in light recreational activities. There was no association between mean Tegner scores and transplant failure rates. A moderate correlation was found between failure rates and mean follow-up time (R = 0.63). The effect of sports activity levels on progression of tibiofemoral OA could not be determined because of limited data. Only two studies determined whether symptoms occurred during sports activities; these reported 1/38 (3%) and 5/69 (7%) patients had knee-related problems.
It appeared that the majority of individuals returned to low-impact athletic activities after meniscus transplantation. The short-term follow-up did not allow for an analysis on the effect of return to high-impact activities on transplant failure rates or progression of OA.
IV.
确定半月板移植后患者能够进行的运动活动，并分析运动活动水平与移植失败或膝关节进展性骨关节炎（OA）之间是否存在关联。
系统检索了 PubMed 和 Cochrane 在线数据库，纳入标准为 1996 年 5 月至 2017 年发表的英语临床研究，随访时间至少 2 年，且报告了运动活动数据。
共纳入 28 项研究，1521 个半月板植入 1497 例患者。平均年龄为 34.3±6.7 岁，平均随访时间为 5.0±3.7 年。有 7 项研究（285 例患者）详细报告了运动活动情况，报道称 70%~92%的患者恢复了各种运动活动。24 项研究报告了平均 Tegner 活动评分，其中 58%的研究平均评分为<5，表明许多患者参与了轻度娱乐性活动。Tegner 评分平均值与移植失败率之间无相关性。在中等随访时间（R=0.63）的情况下，发现失败率与平均随访时间之间存在中度相关性。由于数据有限，无法确定运动活动水平对膝关节进展性 OA 的影响。只有 2 项研究确定了运动活动中是否出现症状，分别有 1/38（3%）和 5/69（7%）的患者出现膝关节相关问题。
半月板移植后，大多数患者似乎可以恢复低冲击性运动活动。短期随访未分析重返高冲击性活动对移植失败率或 OA 进展的影响。
IV。
