Lumban-Gaol Imelda, Putramega Dananjaya, Phatama Krisna Yuarno, Utomo Dwikora Novembri, Budhiparama Nicolaas C
Nicolaas Institute of Constructive Orthopaedic Research & Education Foundation for Arthroplasty & Sports Medicine at Medistra Hospital Jakarta Indonesia.
Department of Orthopaedic and Traumatology, Faculty of Medicine Saiful Anwar General Hospital Universitas Brawijaya Malang Indonesia.
J Exp Orthop. 2025 Jan 5;12(1):e70127. doi: 10.1002/jeo2.70127. eCollection 2025 Jan.
This study aimed to compare the return to sports, return to competition, Tegner score and anterior cruciate ligament-return to sports injury (ACL-RSI) scores between patients who underwent ACL reconstruction (ACLR) combined with anterolateral ligament reconstruction (ALLR) and those who underwent ACLR alone.
Two independent reviewers conducted a literature search in PubMed (MEDLINE), EMBASE, Google Scholar and the Cochrane Library in July 2024, followed by data extraction and quality assessment. This study followed the Preferred Reporting Items for Systematic Reviews and meta-analysis guidelines. The return to sports rate, return to competition rate, Tegner score and ACL-RSI score were compared between patients who underwent primary ACLR with ALLR and those who underwent isolated primary or revision ACLR. The methodological quality of the included studies was assessed via the Cochrane risk-of-bias tool and methodological items for nonrandomized studies.
In total, 12,139 studies were screened, and 14 (four randomized controlled trials and 10 nonrandomized studies) studies were ultimately evaluated. Compared with isolated ACLR, ACLR combined with ALLR resulted in a higher rate of return to sports and competition. Nevertheless, no significant differences were found in the Tegner score or ACL-RSI score between the two groups.
Patients who underwent ACLR in combination with ALLR had higher rates of return to sports and competition, but their Tegner activity and ACL-RSI scores were similar to those of patients who underwent ACLR alone. This finding may assist surgeons in making decisions when treating patients undergoing ACLR, especially athletes.
Level III.
本研究旨在比较接受前交叉韧带重建（ACLR）联合外侧韧带重建（ALLR）的患者与仅接受ACLR的患者之间的运动恢复情况、重返比赛情况、Tegner评分和前交叉韧带运动损伤恢复（ACL-RSI）评分。
2024年7月，两名独立评审员在PubMed（MEDLINE）、EMBASE、谷歌学术和Cochrane图书馆进行了文献检索，随后进行数据提取和质量评估。本研究遵循系统评价和荟萃分析的首选报告项目指南。比较了接受初次ACLR联合ALLR的患者与接受单纯初次或翻修ACLR的患者的运动恢复率、重返比赛率、Tegner评分和ACL-RSI评分。通过Cochrane偏倚风险工具和非随机研究的方法学项目评估纳入研究的方法学质量。
共筛选了12139项研究，最终评估了14项研究（4项随机对照试验和10项非随机研究）。与单纯ACLR相比，ACLR联合ALLR导致运动恢复和重返比赛的比例更高。然而，两组之间的Tegner评分或ACL-RSI评分没有显著差异。
接受ACLR联合ALLR的患者运动恢复和重返比赛的比例更高，但其Tegner活动评分和ACL-RSI评分与仅接受ACLR的患者相似。这一发现可能有助于外科医生在治疗接受ACLR的患者，尤其是运动员时做出决策。
三级。
