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半月板部分切除术会影响前交叉韧带重建的结果吗?

DOES PARTIAL MENISCECTOMY AFFECT ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION RESULTS?

作者信息

Borges Jose Humberto DE Souza, Campos Bruno Santos Leal, Andrade Renan Antônio Quintino DE, Freitas Anderson, Ribeiro Matheus DA Silva, Lobo Paulo

机构信息

Hospital Ortopédico e Medicina Especializada, Instituto de Pesquisa e Ensino, Brasília, DF, Brazil.

Centro Universitário de Brasília, Brasília, DF, Brazil.

出版信息

Acta Ortop Bras. 2021 Nov-Dec;29(6):308-311. doi: 10.1590/1413-785220212906244475.

DOI:10.1590/1413-785220212906244475
PMID:34849095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8601378/
Abstract

OBJECTIVE

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.

METHODS

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.

RESULTS

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).

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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)。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab6/8601378/639d63729e1a/1809-4406-aob-29-06-308-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab6/8601378/639d63729e1a/1809-4406-aob-29-06-308-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab6/8601378/639d63729e1a/1809-4406-aob-29-06-308-gf1.jpg

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本文引用的文献

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Curr Rev Musculoskelet Med. 2020 Feb;13(1):115-122. doi: 10.1007/s12178-019-09596-w.
2
A Comparison of Quadriceps Tendon Autograft With Bone-Patellar Tendon-Bone Autograft and Hamstring Tendon Autograft for Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review and Quantitative Synthesis.前交叉韧带初次重建中,与髌腱-股四头肌腱骨重建和腘绳肌腱重建相比,股四头肌腱重建的比较:系统评价和定量综合分析。
Clin J Sport Med. 2021 Jul 1;31(4):392-399. doi: 10.1097/JSM.0000000000000765.
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Arthroscopic partial meniscectomy for meniscal tears of the knee: a systematic review and meta-analysis.
关节镜下半月板部分切除术治疗膝关节半月板撕裂:系统评价和荟萃分析。
Br J Sports Med. 2020 Jun;54(11):652-663. doi: 10.1136/bjsports-2018-100223. Epub 2019 Feb 22.
4
Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Outcomes for Quadriceps Tendon Autograft Versus Bone-Patellar Tendon-Bone and Hamstring-Tendon Autografts.前交叉韧带重建:股四头肌肌腱自体移植物与骨-髌腱-骨和腘绳肌腱自体移植物的结果的系统评价和荟萃分析。
Am J Sports Med. 2019 Dec;47(14):3531-3540. doi: 10.1177/0363546518825340. Epub 2019 Feb 21.
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Anterior cruciate ligament reconstruction with concomitant meniscal surgery: a systematic review and meta-analysis of outcomes.前交叉韧带重建术合并半月板手术:系统评价和荟萃分析结果。
Knee Surg Sports Traumatol Arthrosc. 2019 Nov;27(11):3441-3452. doi: 10.1007/s00167-019-05389-3. Epub 2019 Feb 4.
6
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