在前交叉带重建后,青少年的移植类型之间异于异性膝盖强度和患者报告的结果:一项多中心研究
Adam P Weaver1, Christopher M Kuenze2, Dylan Roman1
1Connecticut Children's, Farmington, Connecticut, USA.
Orthopaedic journal of sports medicine
|May 14, 2025
概括
在接受前十字带重建 (ACLR) 的青少年中,腿筋肌 (HT) 移植与骨肌骨 (BPTB) 和四头肌 (QT) 移植相比,显示出更好的强度和功能结果. 患者报告的结果各不相同,HT移植显示出优异的体育参与.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 生物机械分析分析
背景情况:
- 在成年人前十字带重建 (ACLR) 后,移植选择影响强度和患者报告的结果 (PROs).
- 有限的高质量的证据存在,比较青少年ACLR患者的移植类型.
研究的目的:
- 为了比较四头骨和腿筋强度,以及接受骨肌骨 (BPTB),四头骨肌 (QT) 或腿筋肌 (HT) 自体移植的青少年中的PROs.
- 假设基于移植类型和跨组类似的PROs的差异性强度赤字.
主要方法:
- 一个队列研究 (证据水平,3) 涉及522名青少年 (平均年龄16.8岁) 后ACLR.
- 在手术后平均7.8个月评估了异动力膝盖强度,IKDC,Pedi-IKDC,KOOS和ACL-RSI得分.
- 使用线性混合效应模型和使用克鲁斯卡尔-瓦利斯测试的PROs进行重量正常化强度比较.
主要成果:
- 与QT和HT移植相比,BPTB移植显示四头四的强度较低,腿筋的强度更高.
- 与QT移植相比,HT移植显示出更大的四头四强度,但腿筋强度较小.
- 患有HT移植的患者报告IKDC和KOOS体育分数更高,而ACL-RSI分数在所有移植类型中都相似.
结论:
- 在ACLR后6-12个月,QT和BPTB移植与较弱的四叉体强度相关,但比HT移植更强的腿筋强度.
- 患者报告的结果是混合的;HT移植导致了更好的自我报告功能和体育参与,体育回归得分没有差异.
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