同时前十字关节和中侧侧关节重建:系统性审查
Daniel C Touhey1, Francisco N Garcia1, Sina Tartibi1
1Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, Missouri, USA.
同时前十字带 (ACL) 和中侧侧带 (MCL) 重建 (ACLR + MCLR) 对于膝关节损伤是有效的,显示出改善的患者结局和较低的并发症率. 本综述强调了最佳的适应症和手术技术,以获得更好的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 膝盖受伤管理 膝盖受伤管理
背景情况:
- 同时前十字带 (ACL) 和中侧侧带 (MCL) 的损伤在高能量的膝盖创伤中很常见.
- ACL和MCL重建 (ACLR + MCLR) 适用于全厚撕裂和持续的松.
研究的目的:
- 系统地审查关于并发初级ACLR + MCLR的文献.
- 了解这些联合伤害的当前指示,手术技术,并发症和结果.
主要方法:
- 来自PubMed,EMBASE和Cochrane图书馆 (开始至2025年4月) 的702项研究的系统审查.
- 包括标准侧重于患者数据,损伤机制,手术技术,移植类型,并发症和结果.
- 使用逆方差加权和I2统计学评估的聚合发病率和异质性.
主要成果:
- 分析了17项涉及902名患者同时接受ACLR + MCLR治疗的研究.
- 大多数受伤与体育有关 (51.3%),其中包括慢性松 (81.5%) 和3级MCL撕裂 (22.2%).
- 自体移植很常见 (ACLR 69.7%,MCLR 61.1%);并发症很少 (7.9%),Lysholm,Tegner和IKDC得分有显著改善.
结论:
- 同时的ACLR + MCLR主要用于旋转运动伤害,导致持续的松.
- 该程序表现出良好的结果,并发症和失败率低.
- 这些发现支持优化手术指示和技术,以改善患者治疗和康复.
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