Department of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.
Department of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A..
Arthroscopy. 2021 Oct;37(10):3140-3148. doi: 10.1016/j.arthro.2021.03.077. Epub 2021 Apr 20.
To determine 2-year functional outcomes using an all-inside quadrupled semitendinosus anterior cruciate ligament (ACL) reconstruction technique in male and female patients.
A total of 100 patients who underwent quadrupled semitendinosus all-inside hamstring ACL reconstruction by a single surgeon were enrolled. Patient-reported outcome scores collected preoperatively and postoperatively included visual analog scale, Veterans Rand 12-Item Health Survey (VR-12; Physical and Mental), Marx Activity Scale, Knee Injury and Osteoarthritis Outcome Scores (KOOS), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).
A total of 100 ACL reconstructions comprising 62 female, and 38 male patients were included in this study. Mean graft diameter was 9.4 mm in female and 9.8 mm in male patients (range, 9-11). Outcome scores demonstrated improvement from preoperative to 2-year postoperative respectively: visual analog scale pain 3.18, 1.07, VR-12 physical 36.35, 52.64, VR-12 mental 53.96, 54.65, KOOS pain 59.17, 89.03, KOOS symptoms 52.64, 80.79, KOOS Activities of Daily Living 69.38, 95.4, KOOS Sport 28.97, 81.25, KOOS Quality of Life 27.54, 71.56, WOMAC Pain 71.56, 92.65, WOMAC Stiffness 60.55, 84.13, and WOMAC Function 69.38, 95.4. Marx activity score decreased from baseline (10.98) to 2 years' postoperatively (8.75). At 2 years, patient expectations were met or exceeded with regards to pain (94%), motion and strength (91%), normal function of daily living (95%), and return to sport (79%).
Anatomic all-inside quadrupled semitendinosus ACL reconstruction improves functional outcomes similarly to previous studies between baseline and clinical follow-up at 1-year and 2-years postoperatively and is comparable in both male and female patients.
Level III, retrospective comparative study.
使用全内四股半腱肌腱前交叉韧带（ACL）重建技术，确定男性和女性患者 2 年的功能结果。
共纳入 100 例由同一位外科医生行全内四股半腱肌腱 ACL 重建的患者。术前和术后收集的患者报告结局评分包括视觉模拟量表、退伍军人 Rand 12 项健康调查（VR-12；身体和精神）、Marx 活动量表、膝关节损伤和骨关节炎结果评分（KOOS）和西部安大略省和麦克马斯特大学骨关节炎指数（WOMAC）。
本研究共纳入 100 例 ACL 重建，包括 62 例女性和 38 例男性患者。女性患者移植物直径平均为 9.4mm，男性患者为 9.8mm（范围 9-11）。分别从术前到术后 2 年的结果评分显示：视觉模拟量表疼痛评分分别为 3.18、1.07，VR-12 身体评分分别为 36.35、52.64，VR-12 精神评分分别为 53.96、54.65，KOOS 疼痛评分分别为 59.17、89.03，KOOS 症状评分分别为 52.64、80.79，KOOS 日常生活活动评分分别为 69.38、95.4，KOOS 运动评分分别为 28.97、81.25，KOOS 生活质量评分分别为 27.54、71.56，WOMAC 疼痛评分分别为 71.56、92.65，WOMAC 僵硬评分分别为 60.55、84.13，WOMAC 功能评分分别为 69.38、95.4。Marx 活动评分从基线（10.98）下降到术后 2 年（8.75）。2 年时，患者对疼痛（94%）、运动和力量（91%）、日常生活正常功能（95%）和重返运动（79%）的期望得到满足或超过。
解剖全内四股半腱肌腱 ACL 重建可改善功能结果，与基线至术后 1 年和 2 年的临床随访相比，与先前研究相似，且在男性和女性患者中具有可比性。
III 级，回顾性比较研究。
