Borges Jose Humberto DE Souza, Campos Bruno Santos Leal, Andrade Renan Antônio Quintino DE, Freitas Anderson, Ribeiro Matheus DA Silva, Lobo Paulo
Hospital Ortopédico e Medicina Especializada, Instituto de Pesquisa e Ensino, Brasília, DF, Brazil.
Centro Universitário de Brasília, Brasília, DF, Brazil.
Acta Ortop Bras. 2021 Nov-Dec;29(6):308-311. doi: 10.1590/1413-785220212906244475.
To compare the application of partial meniscectomy concomitant with primary ACL reconstruction, using the graft from the patellar tendon with individuals who underwent only ACL reconstruction, in clinical functional criteria and degree of osteoarthritis (OA), after 10 years of the surgical process.
This is a retrospective cross-sectional study with 37 patients who underwent ACL reconstruction with a graft from the patellar tendon, associated or not with partial meniscectomy, divided into 2 groups: with meniscal injury (n = 22) and without meniscal injury (n = 15). Anthropometric data and four outcome measures were used to analyze the results: SF-36 questionnaire, arc of motion assessment, Knee injury and Osteoarthritis Outcome Score (KOOS), and Ahlbäck Radiographic Classification.
No differences were found for health-related quality of life, arc of motion, functional condition and knee OA severity/grade in patients who underwent partial or no meniscectomy in conjunction with ACL reconstruction (p > 0.05).
Participants who underwent partial meniscectomy in conjunction with primary ACL reconstruction with a graft from the patellar tendon, after 10 years of the surgical process, showed no significant differences in the clinical functional criteria and severity of knee OA, compared to individuals who underwent only ACL reconstruction.
比较在手术10年后,接受部分半月板切除术并同时进行初次前交叉韧带(ACL)重建(使用髌腱移植物)的患者与仅接受ACL重建的患者在临床功能标准和骨关节炎(OA)程度方面的差异。
这是一项回顾性横断面研究,对37例接受髌腱移植物ACL重建的患者进行研究,这些患者伴有或不伴有部分半月板切除术,分为两组:有半月板损伤组(n = 22)和无半月板损伤组(n = 15)。使用人体测量数据和四项结果指标来分析结果:SF-36问卷、活动弧度评估、膝关节损伤和骨关节炎结果评分(KOOS)以及阿尔贝克放射学分类。
在接受部分半月板切除术或未接受半月板切除术并同时进行ACL重建的患者中,在与健康相关的生活质量、活动弧度、功能状况和膝关节OA严重程度/分级方面未发现差异(p > 0.05)。
与仅接受ACL重建的个体相比,在手术10年后,接受部分半月板切除术并同时进行初次ACL重建(使用髌腱移植物)的参与者在临床功能标准和膝关节OA严重程度方面没有显著差异。