Schauer Niko, Fischer Martin, Golbach Rejane, Groneberg David A, Holzgreve Fabian, Niederer Daniel, Ohlendorf Daniela, Missalla Adalbert
Institute of Occupational Medicine, Social Medicine and Environmental Medicine Goethe University Frankfurt Frankfurt am Main Germany.
Institute of Biostatistics and Mathematical Modelling University Hospital Frankfurt Frankfurt am Main Germany.
J Exp Orthop. 2025 May 6;12(2):e70257. doi: 10.1002/jeo2.70257. eCollection 2025 Apr.
To examine the long-term results of the Press-Fit-Hybrid fixation technique in anterior cruciate ligament (ACL) reconstruction on self-reported knee function, sport ability, return to sport (RTS) success, quality of life and re-rupture rates.
Adults with ACL rupture which was reconstructed between 2011 and 2013 using the Press-Fit-Hybrid fixation technique were included. Participants completed questionnaires before surgery and at 6-month, 1-year, 2-year, 3-year and 10-year follow-ups. Subjective knee function was self-reported using the International Knee Documentation Committee (IKDC) and Lysholm scores. The level of sport activities was assessed using the Tegner Activity Scale (TAS), and quality of life was evaluated with the Knee injury and Osteoarthritis Outcome Score Quality of Life subscale (KOOS-QoL). RTS success rates were categorised into return to participation, RTS and return to performance.
Participants ( = 135) (81 males, 54 females; aged 32.3 years [SD 11.7]) were included. Mean scores at 2, 3 and 10 years were for IKDC 87.6 (SD 10.5), 89.2 (SD 11.0) and 86.5 (SD 14.8), while for Lysholm 92.1 (SD 8.4), 93.3 (SD 7.8) and 90.6 (SD 12.3). The KOOS-QoL averaged 80.4; 70.0% scored above 80.0. After 3 years, 73% returned to their pre-injury TAS-level; 52% still performed at the pre-injury level after 10 years. Average return to participation was within 5.9 months. 96% returned to sport within 9.6 months on average. 72% returned to performance within a mean of 12.2 months. Re-rupture rates were 2.85% in the first 3 years and 5% between 3 and 10 years post-surgery.
Press-Fit-Hybrid leads to low re-rupture and high RTS rates, restoring knee functionality and improved quality of life. Preliminary results need validation in a randomised controlled trial.
Level III.
探讨前交叉韧带（ACL）重建术中压配混合固定技术在自我报告的膝关节功能、运动能力、恢复运动（RTS）成功率、生活质量和再断裂率方面的长期结果。
纳入2011年至2013年间采用压配混合固定技术重建ACL破裂的成年人。参与者在手术前以及6个月、1年、2年、3年和10年随访时完成问卷。使用国际膝关节文献委员会（IKDC）和Lysholm评分自我报告主观膝关节功能。使用Tegner活动量表（TAS）评估体育活动水平，并用膝关节损伤和骨关节炎结局评分生活质量子量表（KOOS-QoL）评估生活质量。RTS成功率分为恢复参与、RTS和恢复表现。
纳入参与者（n = 135）（81名男性，54名女性；年龄32.3岁[标准差11.7]）。2年、3年和10年时IKDC的平均评分分别为87.6（标准差10.5）、89.2（标准差11.0）和86.5（标准差14.8），而Lysholm评分为92.1（标准差8.4）、93.3（标准差7.8）和90.6（标准差12.3）。KOOS-QoL平均为80.4；70.0%的评分高于80.0。3年后，73%的人恢复到受伤前的TAS水平；10年后，52%的人仍保持在受伤前的水平。平均恢复参与时间在5.9个月内。96%的人平均在9.6个月内恢复运动。72%的人平均在12.2个月内恢复表现。术后前3年的再断裂率为2.85%，术后3至10年为5%。
压配混合固定导致低再断裂率和高RTS率，恢复膝关节功能并改善生活质量。初步结果需要在随机对照试验中进行验证。
三级。
