结合ACL和ALL重建后的可比结果,使用1链和2链反向技术:倾向性得分匹配研究结果
Guillaume Andre1, Damien Block1, Olivier Gosselin1
1COUBORTHO, Centre Coubertin/Hôpital-clinique Claude Bernard, ELSAN Metz France.
Journal of experimental orthopaedics
|March 9, 2026
概括
对前交叉带 (ACL) 和前侧带 (ALL) 联合重建的腿筋移植技术在术后松或临床结果上没有显著差异. 一丝和两丝方法都能有效地恢复膝盖的稳定性和功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 生物机械工程 生物机械工程
背景情况:
- 结合前十字带 (ACL) 和前侧带 (ALL) 损伤通常需要手术重建.
- 腿筋移植通常用于ACL重建,但对于ACL和ALL重建的最佳技术仍在争论中.
- 了解移植技术之间的生物机械和临床差异对于改善患者的治疗结果至关重要.
研究的目的:
- 为了比较手术后松和ACL和ALL复合重建的临床结果,使用腿筋移植与1链对比2链的前后技术.
- 评估每个技术在恢复膝盖稳定性和功能的有效性.
主要方法:
- 对348名患者 (2链) 和130名患者 (1链) 进行联合ACL和ALL重建的回顾性评估.
- 倾向性得分匹配创造了可比的队列 (每组70名患者).
- 术前和术后的评估包括KOOS-12,Lysholm,Tegner,ACL-RSI得分,体检 (冲动测试,拉赫曼等级) 和关节计测量 (前部转移,内部旋转).
主要成果:
- 在倾向性得分匹配和追踪损失和修订后,分析了58名患者 (2-strand) 和59名患者 (1-strand).
- 在手术后的差异松性 (前部转移,内部旋转) 中,在1链和2链组之间没有发现显著差异.
- 临床结果得分 (KOOS-12,ACL-RSI,Lysholm,Tegner) 和复发率在两种技术之间是可比的.
结论:
- 联合ACL和ALL重建的1链和2链前后腿筋移植技术产生了类似的术后松.
- 这两种技术都显示出相似的功能和临床结果,包括恢复体育和活动水平.
- 这些发现表明,一链和两链技术在联合ACL和ALL重建中同样有效地恢复膝盖稳定性和功能.
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