髌股内侧韧带重建术中移植物长度变化模式的术中观察的有效性
Validity of intraoperative observation of graft length change pattern for medial patellofemoral ligament reconstruction.
作者信息
Katagiri Hiroki, Miyatake Kazumasa, Watanabe Toshifumi, Horie Masafumi, Sekiya Ichiro, Muneta Takeshi, Koga Hideyuki
机构信息
Department of Joint Surgery and Sports Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
出版信息
J Orthop. 2020 Mar 24;21:131-136. doi: 10.1016/j.jor.2020.03.007. eCollection 2020 Sep-Oct.
BACKGROUND
The clinical outcome of the medial patellofemoral ligament reconstruction (MPFLR) based on graft length change pattern (length pattern group) was compared with MPFLR based on visual examination combined with palpation (visual/palpation group).
METHODS
Physical findings, patient-reported outcome, and radiographic demonstration were evaluated pre- and postoperatively.
RESULTS
The length pattern group had significantly lower risk of a positive apprehension test (Odds ratio 0.12, p < 0.01), and higher scores in postoperative Lysholm score (p = 0.046) and patient satisfaction (p = 0.036) than The visual/palpation group.
CONCLUSION
MPFLR based on graft length change pattern improved on patient-reported outcomes and apprehension test.
LEVEL OF EVIDENCE
Level Ⅲ, Retrospective comparative study.
背景
将基于移植物长度变化模式的内侧髌股韧带重建术（MPFLR）（长度模式组）与基于视觉检查联合触诊的MPFLR（视觉/触诊组）的临床结果进行比较。
方法
在术前和术后评估体格检查结果、患者报告的结局和影像学表现。
结果
与视觉/触诊组相比，长度模式组出现阳性恐惧试验的风险显著更低（优势比0.12，p < 0.01），术后Lysholm评分（p = 0.046）和患者满意度（p = 0.036）更高。
结论
基于移植物长度变化模式的MPFLR在患者报告的结局和恐惧试验方面有所改善。
证据水平
Ⅲ级，回顾性比较研究。
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