主要与修订ACL重建使用四肢体自体移植:匹配对照队列研究
Amit Meena1,2, Luca Farinelli3, Christian Hoser1,2
1Gelenkpunkt-Sports and Joint Surgery, FIFA Medical Center of Excellence, Innsbruck, Austria.
Orthopaedic journal of sports medicine
|February 5, 2024
概括
四头肌 (QT) 自体移植显示了初级和修复前十字带 (ACL) 重建的可接受的功能结果. 然而,与QT自体移植进行的ACL修复手术比初级ACL重建有更高的移植失败率和更多的并发性损伤.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 在全球范围内,前十字带 (ACL) 重建的发生率正在上升.
- 四肢 (QT) 自体移植越来越多地用于初级和修复ACL重建.
- 这项研究调查了QT自移植在初级和修复ACL手术中的比较结果.
研究的目的:
- 为了比较患者报告的初级和修复ACL重建之间的功能结果,使用QT自移植.
- 为了评估与初级与修复ACL重建相关的并发损伤的差异.
- 在初级和修复ACL重建中评估移植失败率,使用QT自移植.
主要方法:
- 一项回顾性队列研究 (证据水平,3) 从前性收集的注册表分析了376个初级和138个修订ACL重建.
- 患者接受了微创性QT自移植收获,使用相同的手术和康复方案.
- 队列根据年龄,性别和伤害前的结局得分 (Lysholm,Tegner,VAS疼痛) 与2年的术后随访相匹配.
主要成果:
- 这两组在手术后的Lysholm和VAS疼痛得分均显著改善.
- 主要ACL重建组的同时出现的中侧侧带损伤率较高.
- 修订组的同时出现的软骨和阴茎损伤显著增加,并且移植失败率更高 (13.0%与5.6%相比).
结论:
- 四肢肌自移植为初级和修复ACL重建提供了可接受的功能结果.
- 修复ACL重建与QT自体移植与较差的结果有关,可能是由于相关的阴茎和软骨损伤的更高患病率.
- QT自移植是初级和修复ACL重建的可行选择,尽管在修复病例中,仔细的患者选择和同时出现的损伤的管理至关重要.
关键词:
在ACL中,ACL是ACL.在 QT 自传中.前十字带的前十字带.四头四肢移植是什么意思修订ACL修订ACL修订ACL修订ACL修订ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改ACL修改
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