在一项平均随访时间为 4.8 年的全部女性足球运动员队列中，比较了骨-髌腱-骨自体移植物和股四头肌肌腱自体移植物重建 ACL 的结果。
Outcomes of bone-patellar tendon-bone autograft and quadriceps tendon autograft for ACL reconstruction in an all-female soccer player cohort with mean 4.8-year follow up.
机构信息
Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh Medical Center, Pittsburgh, PA 15203, USA.
University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
出版信息
J ISAKOS. 2024 Feb;9(1):34-38. doi: 10.1016/j.jisako.2023.11.002. Epub 2023 Nov 11.
OBJECTIVE
The purpose is to compare functional outcomes, return to soccer rates, and revision rates in an all-female soccer player cohort undergoing quadriceps tendon (QT) autograft ACLR versus bone-patellar tendon-bone (BPTB) autograft ACLR.
METHODS
Female soccer players who sustained an ACL rupture and underwent primary anatomic, single-bundle ACLR with BPTB autograft or QT autograft were included. Demographic and surgical characteristics were collected. Outcomes of interest included Tegner score, International Knee Documentation Committee (IKDC) score, Marx score, return to soccer rates, and failure rates.
RESULTS
Data on 23 patients undergoing BPTB autograft ACLR and 14 undergoing QT autograft ACLR was available. Average age was 18.7 years, and average follow up was 4.8 years. Overall, 76 % (28/37) returned to soccer and 5.4 % (2/37) underwent revision ACLR. No major significant differences were found in demographic or surgical characteristics. No differences were found in postoperative IKDC scores, preoperative, postoperative, or change from pre-to postoperative Marx activity scores, or pre-and postoperative Tegner scores between the groups. QT autograft ACLR patients had significantly less change in Tegner scores pre-to postoperatively compared to the BTPB autograft ACLR group (0.6 ± 1.2 versus 2.1 ± 1.8; p = 0.02). Both groups had similar rates of return to soccer [78 % (18/23) BPTB autograft ACLR versus 71 % (10/14) QT autograft ACLR; p = 0.64] and rates of revision (8.7 % (2/23) BPTB autograft ACLR; 0 % (0/14) QT autograft ACLR.
CONCLUSION
Results of this study suggest that BPTB autograft ACLR and QT autograft ACLR produce comparable, successful functional and return to soccer outcomes in this all-female soccer player cohort study. Larger, prospective studies are needed to improve the strength of conclusions and provide more information on the optimal graft choice for female soccer players. Surgeons can use the results of this study to counsel female soccer players on expected outcomes after ACLR.
LEVEL OF EVIDENCE
III.
目的
本研究旨在比较全女性足球运动员队列中行股四头肌腱（QT）自体移植物 ACLR 与骨-髌腱-骨（BPTB）自体移植物 ACLR 的功能结果、重返足球的比例和翻修率。
方法
纳入了因 ACL 断裂并接受 BPTB 自体移植物或 QT 自体移植物行解剖、单束 ACLR 的女性足球运动员。收集了人口统计学和手术特征。感兴趣的结果包括 Tegner 评分、国际膝关节文献委员会（IKDC）评分、Marx 评分、重返足球的比例和失败率。
结果
有 23 例行 BPTB 自体移植物 ACLR 和 14 例行 QT 自体移植物 ACLR 的患者数据可用。平均年龄为 18.7 岁，平均随访时间为 4.8 年。总体而言，76%（28/37）重返足球，5.4%（2/37）行 ACLR 翻修。在人口统计学或手术特征方面，没有发现重大差异。两组术后 IKDC 评分、术前、术后或术前至术后 Marx 活动评分的变化、或术前和术后 Tegner 评分均无差异。与 BTPB 自体移植物 ACLR 组相比，QT 自体移植物 ACLR 患者术后 Tegner 评分的变化明显更小（0.6±1.2 与 2.1±1.8；p=0.02）。两组的重返足球比例相似[78%（18/23）BPTB 自体移植物 ACLR 与 71%（10/14）QT 自体移植物 ACLR；p=0.64]和翻修率（8.7%（2/23）BPTB 自体移植物 ACLR；0%（0/14）QT 自体移植物 ACLR）。
结论
本研究结果表明，在全女性足球运动员队列研究中，BPTB 自体移植物 ACLR 和 QT 自体移植物 ACLR 产生相似的成功功能和重返足球的结果。需要更大规模的前瞻性研究来提高结论的强度，并为女性足球运动员提供关于最佳移植物选择的更多信息。外科医生可以使用本研究的结果来向女性足球运动员提供 ACLR 后的预期结果。
证据水平
III 级。
Zotero 插件