踝关节韧带重建——损伤后恢复运动量表及踝关节韧带重建或修复后恢复运动——一项系统评价
Ankle ligament reconstruction-return to sport after injury scale and return to sports after ankle ligament reconstruction or repair-A systematic review.
作者信息
Wang YuChia, Hinz Maximilian, Buchalter Wyatt H, Drumm Amelia H, Eren Emre, Thomas Haytmanek C, Backus Jonathon D
机构信息
Steadman Philippon Research Institute Vail Colorado USA.
Department of Sports Orthopaedics Technical University of Munich Munich Germany.
出版信息
J Exp Orthop. 2024 Jul 2;11(3):e12077. doi: 10.1002/jeo2.12077. eCollection 2024 Jul.
PURPOSE
To systematically review existing literature regarding the ankle ligament reconstruction-return to sport after injury (ALR-RSI) scale and to assess its correlation with Return to sport and functional outcomes as well as feasibility, reliability and consistency.
METHODS
A systematic review of the literature based on the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) was conducted using PubMed, Embase and Cochrane Library. Studies that evaluated psychological readiness to return to sport after ankle ligament reconstruction or repair for the treatment of chronic lateral ankle instability using the ALR-RSI scale were included. The results from each study were pooled, and weighted means and overall rates were calculated.
RESULTS
In total, 157 patients (53.2% male, mean age: 34.2 years) from three articles were included. Overall, 85.0% of patients reported successful return to sport, but only 48.9% of patients returned to the preoperative sporting level. All studies reported a significant difference in psychological scores between patients who returned to sport and those who did not. Pooled mean patient-reported outcome measures, reported as the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot (AOFAS, three studies) Score and Karlsson-Peterson Score (three studies), were 82.7 (range: 29-100) and 81.7 (range: 25-100), respectively. The ALR-RSI scale demonstrated strong correlations with the AOFAS Score and Karlsson-Peterson Score.
CONCLUSION
Patients who returned to sport after ankle ligament reconstruction or repair exhibited higher psychological readiness compared to those who did not. The ALR-RSI scale showed strong correlations with ankle function. Evaluation of psychological readiness using the ALR-RSI scale may provide an additional tool in the assessment of patients who underwent ankle ligament reconstruction or repair.
LEVEL OF EVIDENCE
Level III, systematic review.
目的
系统回顾有关踝关节韧带重建后恢复运动（ALR-RSI）量表的现有文献，并评估其与恢复运动及功能结果的相关性，以及可行性、可靠性和一致性。
方法
基于系统评价和Meta分析的首选报告项目（PRISMA），使用PubMed、Embase和Cochrane图书馆对文献进行系统回顾。纳入使用ALR-RSI量表评估踝关节韧带重建或修复治疗慢性外侧踝关节不稳后恢复运动的心理准备情况的研究。汇总每项研究的结果，并计算加权均值和总体发生率。
结果
共纳入来自3篇文章的157例患者（男性占53.2%，平均年龄：34.2岁）。总体而言，85.0%的患者报告成功恢复运动，但只有48.9%的患者恢复到术前运动水平。所有研究均报告恢复运动的患者与未恢复运动的患者在心理评分上存在显著差异。汇总的患者报告结局指标，以美国矫形足踝协会踝-后足（AOFAS，3项研究）评分和卡尔森-彼得森评分（3项研究）表示，分别为82.7（范围：29-100）和81.7（范围：25-100）。ALR-RSI量表与AOFAS评分和卡尔森-彼得森评分显示出强相关性。
结论
与未恢复运动的患者相比，踝关节韧带重建或修复后恢复运动的患者表现出更高的心理准备。ALR-RSI量表与踝关节功能显示出强相关性。使用ALR-RSI量表评估心理准备情况可能为接受踝关节韧带重建或修复的患者评估提供一个额外的工具。
证据级别
三级，系统评价。
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