腿筋前十字带重建后的中期持续结果 青少年与无带强化和无带强化进行比较
Rajvarun S Grewal1, James D Bomar2, Eric W Edmonds2
1California Health Sciences University, College of Osteopathic Medicine, Clovis, CA, USA.
Journal of the Pediatric Orthopaedic Society of North America
|January 22, 2026
概括
在青少年运动员的前十字带 (ACL) 重建中,带强化 (STR) 显示了患者报告的类似结果,但体育回归率显著更高. 对于这一群体来说,STR似乎是有益的,即使随访时间更长.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 在外科手术中的生物材料.
背景情况:
- 在青少年运动员中,前十字带 (ACL) 重建通常使用腿筋自移植.
- 带强化 (STR) 已在术后2年内改善患者报告的结果 (PROs) 中表现出前景.
- 在这个人群中,STR的长期疗效需要进一步研究.
研究的目的:
- 评估中期的PRO和青少年运动员中进行ACL重建的运动回归 (RTS) 率与没有STR.
- 为了确定STR是否影响移植失败率和手术后至少3年的并发症.
主要方法:
- 一个回顾性审查的青少年患者,他们接受了腿筋自移植ACL重建与或没有STR.
- 收集了包括Lysholm,SANE,Tegner,疼痛和满意度等在内的PRO.
- 并发症和RTS在至少3年的随访中进行了评估.
主要成果:
- 分析了42名患者 (21名STR,21名非STR) 的平均随访时间为5.1年.
- 两组之间在Lysholm,SANE,Tegner,疼痛或满意度得分方面没有发现显著差异.
- 在STR组中,RTS的发生率明显高 (95%对48%,P=.001).
结论:
- 腿筋自移植ACL重建中的STR与青少年运动员中RTS的可能性更高有关,即使是在中间的随访.
- 通过添加STR,PROs并没有减少.
- 对于这种患者群体来说,STR似乎是一种安全且潜在的有益的补充剂.
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