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前交叉韧带重建中对侧髌腱自体移植

CONTRALATERAL PATELLAR TENDON AUTOGRAFT IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.

作者信息

Lobo Paulo, Santos Eugênio Dos, Borges José Humberto DE Souza, Dias Luana Junqueira Resende Volpe, Machado Ronny DE Souza, Freitas Anderson

机构信息

. IPE-HOME, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brazil.

出版信息

Acta Ortop Bras. 2018 Mar-Apr;26(2):140-144. doi: 10.1590/1413-785220182602185594.

Abstract

OBJECTIVE

To conduct a systematic review of literature about the use of contralateral patellar tendon autograft in anterior cruciate ligament reconstructions and present the results.

METHODS

The LILACS, MEDLINE, Cochrane, PubMed, Scielo and Google Scholar databases were searched without date restrictions for the keywords "anterior cruciate ligament reconstruction" combined with "contralateral" in the article title. After the studies were identified, two independent evaluators collected the qualitative characteristics of the studies and classified them according to clinical outcomes of these grafts as positive, neutral, or negative.

RESULTS

A total of 755 articles were found initially, and after detailed evaluation of all references, followed by a screening process and assessment of quality, a total of 11 studies were determined to be eligible for inclusion in this systematic review. Of these, 72.72% were level II studies, the most common level of evidence among the results. Positive results for this type of graft were found in 63.63% of the studies.

CONCLUSION

Based on the literature review, most of the included articles (63.63%) presented positive results for the use of contralateral patellar tendon grafts. Level of Evidence III; Systematic review.

摘要

目的

对有关在膝关节前交叉韧带重建中使用对侧髌腱自体移植的文献进行系统综述并呈现结果。

方法

对LILACS、MEDLINE、Cochrane、PubMed、Scielo和谷歌学术数据库进行检索,无日期限制,检索文章标题中关键词“前交叉韧带重建”与“对侧”组合的文献。在确定研究后,两名独立评估者收集研究的定性特征,并根据这些移植物的临床结果将其分类为阳性、中性或阴性。

结果

最初共找到755篇文章,在对所有参考文献进行详细评估、随后进行筛选过程和质量评估后,共确定11项研究符合纳入本系统综述的条件。其中,72.72%为II级研究,是结果中最常见的证据级别。63.63%的研究中发现此类移植物有阳性结果。

结论

基于文献综述,大多数纳入文章(63.63%)显示使用对侧髌腱移植物有阳性结果。证据级别III;系统综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/6032619/7d11085c6cce/1413-7852-aob-26-02-00140-gf1.jpg

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