Wright Rick W, Johnson Lea, Brophy Robert H, Bogunovic Ljiljana, Matava Matthew J, Smith Matthew V
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
J Knee Surg. 2019 Mar;32(3):218-221. doi: 10.1055/s-0038-1641137. Epub 2018 Apr 13.
Revision anterior cruciate ligament (ACL) reconstruction typically has worse outcomes than primary reconstructions. Minimal long-term data exist regarding 5-year results. We chose to perform a systematic review to evaluate midterm (5-year) revision ACL reconstruction outcomes (patient-reported outcomes, reoperation, stability, arthritis) in comparison to primary ACL reconstructions at similar time points. Embase, Cochrane, and PubMed databases were queried, and four studies met the inclusion criteria. Two authors reviewed and performed data extraction. All were level 4 studies. Review of the studies demonstrated that results at 5 years are consistently worse than those noted in primary reconstructions for objective and patient-reported outcomes. Revision ACL reconstruction outcomes remain worse than primary reconstructions at midterm 5-year follow-up. The level of evidence is 4.
前交叉韧带（ACL）翻修重建的结果通常比初次重建更差。关于5年结果的长期数据极少。我们选择进行一项系统评价，以评估中期（5年）ACL翻修重建的结果（患者报告的结果、再次手术、稳定性、关节炎情况），并与相似时间点的初次ACL重建结果进行比较。检索了Embase、Cochrane和PubMed数据库，四项研究符合纳入标准。两名作者进行了文献回顾和数据提取。所有研究均为4级研究。对这些研究的回顾表明，在客观结果和患者报告的结果方面，5年时的结果始终比初次重建时更差。在5年中期随访时，ACL翻修重建的结果仍比初次重建更差。证据级别为4级。
