Results of revision anterior cruciate ligament surgery
Results of revision anterior cruciate ligament surgery
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DOI：
10.1177/0363546507307391
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发表时间：
2007-12-01
影响因子：
4.8
通讯作者：
Warren, Russell F.
中科院分区：
文献类型：
--
作者：
Battaglia, Michael J.;Cordasco, Frank A.;Warren, Russell F.
背景：前交叉韧带翻修手术仍然具有挑战性。目的：分析作者进行前交叉韧带翻修手术的经验，并确定稳定性和功能结果之间的关联。研究设计：病例系列；证据水平，4。方法：1991 年至 2002 年间，在作者所在机构接受翻修前十字韧带重建术的 102 名患者中，有 95 名符合纳入研究的标准。其中，63 名 (66%) 返回接受完整临床和放射学评估（平均随访时间为 72.7 个月）的人组成了研究组。主观评估侧重于恢复运动、关节炎症状和国际膝关节文献委员会的主观标准。临床评估包括检查、KT-1000 关节计和功能测试，以及对位和关节炎的放射线分析。 结果：根据国际膝关节文献委员会的主观评分和恢复运动情况，45 名患者（71%）的结果被评为优秀/良好，6 名患者（10%）的结果为一般，12 名患者（19%）的结果为差。 IA 级或 IIA 级 Lachman 与 KT-1000 关节计的左右差异为
Background: Revision anterior cruciate ligament surgery remains challenging.Purpose: To analyze the authors' experience with revision anterior cruciate ligament surgery and determine the association between stability and functional results.Study Design: Case series; Level of evidence, 4.Methods: Between 1991 and 2002, 95 of 102 patients who underwent revision anterior cruciate ligament reconstruction at the authors' institution met the criteria for inclusion in the study. Of those, the 63 (66%) who returned for complete clinical and radiologic evaluation (mean follow-up, 72.7 months) formed the study group. Subjective evaluation focused on return to sports, arthritic symptoms, and subjective International Knee Documentation Committee criteria. Clinical evaluation included examination, KT-1000 arthrometer and functional testing, and radiographic analysis of alignment and arthritis.Results: Based on International Knee Documentation Committee subjective scores and return to sports, results were rated as excellent/good in 45 patients (71%), fair in 6 (10%), and poor in 12 (19%). A grade IA or IIA Lachman and a KT-1000 arthrometer side-to-side difference of