老年人前十字带重建:长达5年的随访研究
Takayuki Kurokawa1, Károly Csete1, Péter Jávor1
1Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary.
Injury
|September 20, 2024
概括
前十字带重建 (ACLR) 在老年运动员中与年轻人相比,产生了可比的结果. 40岁以上的年龄不会显著影响ACLR的成功,这表明该程序没有上限年龄.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 老年医学 老年医学
背景情况:
- 在40岁以上的活跃成年人中,前十字带 (ACL) 撕裂和随后的手术重建 (ACLR) 的发生率越来越高.
- 关于ACLR在老年人群中的有效性存在有限的文献.
- 越来越需要了解接受ACLR的老年运动员的结果.
研究的目的:
- 为了比较老年患者 (40岁以上) 和年轻患者队列中ACL重建的长期结果.
- 为了评估移植功能,膝盖稳定性和不同年龄组的患者满意度,ACLR后.
主要方法:
- 对195名接受ACLR与骨肌骨 (BPTB) 移植的患者进行了回顾性研究.
- 患者分为四个年龄组:<40,40-49,50-59和>60岁.
- 评估包括国际膝关节文档委员会 (IKDC) 的客观评分,前后 (AP) 位移的KT-1000关节计,以及在5年后续对主观评估的Lysholm尺度.
主要成果:
- 虽然50-59和>60组的IKDC分数较低,但大多数人实现了正常或接近正常的功能 (83%和66%).
- 在40岁以下和40岁以上的群体之间注意到了显著的AP位移差异,但移植失败/延长率没有增加.
- 老年人群中的Lysholm分数较低,但仍处于"好"范围.
结论:
- 老年运动员的长期ACL重建结果与年轻患者在膝盖功能和满意度方面相似.
- 对于40岁及以上的患者,包括50岁和60岁的患者,没有观察到结果的显著差异.
- 目前的证据不足以确定老年运动员的ACL重建的上限年龄.
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