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在2年的随访中,骨肌骨和腿筋自移植之间膝盖疼痛没有差异

Nicholas F Banfield¹, Rebekah M Kleinsmith², Haley D Puckett³

¹Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota.

|February 26, 2026

概括

骨肌骨 (BPTB) 自体移植用于前十字带重建 (ACLR) 与腿筋 (HT) 自体移植相比没有导致更严重的膝盖疼痛. 这项为期2年的研究发现,两种移植类型之间的患者报告的疼痛结果没有显著差异.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
生物医学工程生物医学工程

背景情况:

之前的研究表明,骨肌骨 (BPTB) 自体移植可能在前十字带重建 (ACLR) 后引起更多前膝关节疼痛.
腿筋 (HT) 自体移植是一种替代方案,但直接比较疼痛结果至关重要.

研究的目的:

为了比较患者报告的结局措施 (PROMs) 在使用BPTB与HT自移植的ACLR进行2年随访时.
为了具体评估两种移植类型之间膝盖疼痛的差异.

主要方法:

对411名接受初级ACLR治疗的患者进行了回顾性队列研究 (2009-2021).
收集了2年的PROM,包括膝关节损伤和骨关节炎结局得分 (KOOS) 和KOOS疼痛分级.
使用描述性分析,t测试,千平方测试和ANOVA进行统计分析 (P ≤ .05).

主要成果:

在BPTB和HT自移植之间,两年改善或最终KOOS疼痛分级得分没有显著差异 (P > .05).
基线总体KOOS在BPTB组较高,但在HT组中,KOOS在2年变化较高 (P < .001,P = .040).
总体而言,最终随访时的KOOS在BPTB和HT自移植之间没有显著差异 (P = .136).

结论:

使用BPTB自体移植的ACLR与2年随访时与HT自体移植相比,与更严重的膝盖疼痛无关.
这些发现挑战了关于BPTB移植相关疼痛的先前假设.

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