自体移植前十字带重建可改善移植的突覆盖和稳定性,而残留保存技术进一步增强突化:系统性审查和分析
Lika Dzidzishvili1,2, Udit Dave2, Jared Rubin2
1Department of Orthopaedic Surgery, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
概括
自体移植前十字带 (ACL) 重建提供了比异体移植更好的移植愈合和稳定性. 遗留物保存技术进一步改善了结果,显示出更好的突覆盖和更少的移植撕裂.
科学领域:
- 骨科手术
- 生物材料科学
- 运动医学
背景情况:
- 前十字带 (ACL) 重建是一种常见的骨科手术.
- 移植选择 (自移植与合移植) 和手术技术显著影响结果.
- 通过第二视关节镜 (SLA) 评估移植的愈合和完整性提供了宝贵的见解.
研究的目的:
- 使用SLA系统地比较自体移植和异体移植ACL重建之间的移植同位体和撕裂率.
- 评估关节稳定性,主观和客观临床结果的差异.
- 分析残留物保存技术与传统方法的影响.
主要方法:
- 在PubMed,Embase和Cochrane图书馆的系统文献搜索.
- 26项研究的元分析,包括2891名患者 (2164名自移植,727名全移植).
- 对突覆盖的评估,移植撕裂率,前转移和IKDC得分.
主要成果:
- 与全体移植相比,自体移植显示出明显更好的突覆盖率 (83%与70. 9%) 和较低的覆盖率 (9. 3%与19. 3%).
- 自体移植 (8%) 和全体移植 (10%) 之间,移植撕裂率相似.
- 自体移植显示出明显较低的前转移 (1. 23mm与2. 00mm相比) 和更好的IKDC目标得分.
结论:
- 自体移植ACL重建与异体移植相比,产生更好的移植愈合,稳定性和功能结果.
- 遗留物保存技术可以增强移植的整合性和膝盖的稳定性.
- 手术技术 (单捆 vs 双捆) 没有显著影响移植结果.
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