Vandenrijt Jasper, Callenaere Sofie, Van der Auwera Dries, Michielsen Jozef, Van Dyck Pieter, Heusdens Christiaan H W
Orthopaedics, Antwerp University Hospital, Drie Eikenstraat 655, Edegem, 2650, Belgium.
Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Wilrijk, 2610, Belgium.
J Exp Orthop. 2023 Apr 26;10(1):49. doi: 10.1186/s40634-023-00605-z.
To discuss recent literature on posterior cruciate ligament (PCL) repair and report on the clinical and radiological outcomes.
A systematic review was conducted according to the PRISMA guidelines. In August 2022, three databases (PubMed, Scopus, and Cochrane Library) were searched for studies on PCL repair by two independent reviewers. Articles published between January 2000 and August 2022 focussing on the clinical and/or radiological outcomes, following PCL repair, were included. Patient demographic data, clinical evaluations, patient‑reported outcome measures, post-operative complications and radiological outcomes were extracted.
Nine studies met the inclusion criteria, covering 226 patients with a mean age ranging from 22.4 to 38.8 years and mean follow-up periods ranging from 14 to 78.6 months. Seven studies (77.8%) were level IV and two studies (22.2%) were level III. Arthroscopic PCL repair was performed in four studies (44.4%) while the remaining five studies (55.6%) described open PCL repair. In four studies (44.4%) additional suture augmentation was applied. Arthrofibrosis affected a combined total of 24 patients (11.7%; range 0-21.0%) making it the most common complication and the overall failure rate was 5.6%, ranging from 0 to 15.8%. Two studies (22.2%) performed post-operative MRI and confirmed PCL healing.
This systematic review indicates that PCL repair can be a safe procedure with an overall failure rate of 5.6%, ranging from 0% to 15.8%. However, more high quality research is necessary before widespread clinical implementation is warranted.
IV.
探讨近期关于后交叉韧带（PCL）修复的文献，并报告临床和影像学结果。
根据PRISMA指南进行系统评价。2022年8月，由两名独立审阅者在三个数据库（PubMed、Scopus和Cochrane图书馆）中检索关于PCL修复的研究。纳入2000年1月至2022年8月发表的聚焦于PCL修复后临床和/或影像学结果的文章。提取患者人口统计学数据、临床评估、患者报告的结局指标、术后并发症和影像学结果。
九项研究符合纳入标准，涵盖226例患者，平均年龄在22.4至38.8岁之间，平均随访期在14至78.6个月之间。七项研究（77.8%）为IV级，两项研究（22.2%）为III级。四项研究（44.4%）进行了关节镜下PCL修复，其余五项研究（55.6%）描述了开放性PCL修复。四项研究（44.4%）应用了额外的缝线增强。关节纤维化共影响24例患者（11.7%；范围0 - 21.0%），使其成为最常见的并发症，总体失败率为5.6%，范围为0至15.8%。两项研究（22.2%）进行了术后MRI检查并证实PCL愈合。
本系统评价表明，PCL修复可以是一种安全的手术，总体失败率为5.6%，范围为0%至15.8%。然而，在有必要进行广泛的临床应用之前，还需要更多高质量的研究。
IV级。
