在初级前十字关节重建期间管理的中间,侧面和双分区月经管撕裂的复手率
Timothy McAleese1,2, Neil Welch2, Enda King3,4
1RCSI University of Medicine and Health Sciences, Dublin, Ireland.
The American journal of sports medicine
|February 7, 2026
概括
在前交叉带重建 (ACLR) 期间在现场留下阴茎撕裂显示出低的重新操作率. 中部阴茎修复增加了重新手术的风险,特别是在并发的侧面撕裂时,影响了结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 膝盖生物力学 膝盖生物力学
背景情况:
- 阴茎撕裂经常伴随前十字带 (ACL) 损伤,影响55-65%的患者.
- 在ACL受伤的膝盖中,阴茎撕裂的行为与稳定的膝盖不同,需要特定的管理策略.
- 在初级ACL重建 (ACLR) 期间中部,侧部和双分支撕裂的最佳治疗方法仍未确定.
研究的目的:
- 在ACLR期间评估各种阴茎治疗策略的重新手术率.
- 分析中部,侧部和双隔膜半径撕裂对ACLR结果的影响.
- 评估阴茎撕裂管理对回归游戏和患者报告结果的影响.
主要方法:
- 一项对1137名患者进行的队列研究,这些患者接受了初级ACLR治疗,同时患有脑膜损伤.
- 阴道治疗被分类为留在现场 (LIS),部分阴道切除术 (PM) 或修复.
- 重新运行率作为主要终点进行分析,多变量分析确定风险因素. 结果在2年后进行评估.
主要成果:
- 对于侧面 (1.3%),中间 (2.6%) 和双隔间 (3.2%) 的LIS撕裂,观察到较低的重新操作率.
- 与其他医疗疗法相比,中介性阴茎修复显示出明显更高的重复手术率 (14.8%), (HR 12.8,P < .001).
- 经过中间半月膜修复和逆侧撕裂的患者的复手率最高 (16.7%),回归游戏率最低 (60%). 侧面阴茎修复与较低的IKDC分数有关.
结论:
- 在ACLR期间留在现场的稳定阴茎撕裂显示出低的重复手术率和有利的患者报告的结果,即使有双分隔撕裂.
- 中间阴茎修复带来了最高的重新手术风险,特别是当与侧面隔间撕裂相结合时.
- 与其他侧面阴茎管理策略相比,侧面阴茎修复与国际膝盖文档委员会 (IKDC) 评分的下降有关.
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