一阶段与两阶段的ACL重建与同时进行的MCL手术在ACL和MCL受伤的结合:至少2年的随访研究
Kwangho Chung1,2, Hyun-Soo Moon1,3, Sung-Hwan Kim1,4
1Arthroscopy and Joint Research Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Journal of clinical medicine
|January 28, 2026
概括
执行一个阶段的前十字带重建 (ACLR) 与中侧侧带 (MCL) 手术一起,可以获得与两阶段方法相似的结果. 这表明,单阶段ACLR是联合伤害的可行选择,而不会增加硬度风险.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械研究 生物机械研究
背景情况:
- 在患有并发中侧侧带 (MCL) 损伤的患者中,前十字带重建 (ACLR) 的最佳时间受到争论.
- 结合ACL和III级MCL损伤的手术治疗需要仔细考虑分期.
研究的目的:
- 为了比较一个阶段和两个阶段ACLR的临床结果,在结合ACL和手术管理的MCL损伤的患者中.
- 为了评估两种手术方法之间的膝盖稳定性,患者报告的结果和运动范围 (ROM).
主要方法:
- 对68名结合ACL和III级MCL损伤的患者进行了回顾性分析.
- 患者被分为一阶段ACLR (n=42) 和两阶段ACLR (n=26) 组.
- 膝盖稳定性,ROM和患者报告的结果在至少2年的随访后进行比较.
主要成果:
- 两组都在膝盖稳定性,功能和患者报告的结果方面显著改善.
- 在前面,或旋转稳定性方面,在一阶段和两阶段组之间没有观察到显著的差异.
- 两组之间发现了可比的ROM,曲/延伸缺陷和额外硬度手术的比率.
结论:
- 对于联合ACL和手术管理的MCL损伤的单阶段ACLR提供了与两阶段方法相比的临床和稳定性结果.
- 一个阶段的ACLR似乎是可行的,而无需显著增加术后硬度或ROM限制.
- 研究结果应谨慎解释,因为样本规模有限,检测小差异可能不足.
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