Anterior cruciate ligament reconstruction in patients over 50 years of age
Anterior cruciate ligament reconstruction in patients over 50 years of age
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DOI：
10.1016/j.knee.2014.08.003
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发表时间：
2014-12-01
期刊：
影响因子：
1.9
通讯作者：
Gili, Federico
中科院分区：
文献类型：
--
作者：
Figueroa, David;Figueroa, Francisco;Gili, Federico
目的：描述因急性断裂而接受前交叉韧带 (ACL) 重建的 50 岁以上患者的临床结果。方法：对 50 岁以上诊断为 ACL 断裂并接受 ACL 重建的患者进行前瞻性研究。 Lysholm 和国际膝关节记录委员会 (IKDC) 在术前和最后随访时评估主观评分。所有相关损伤均已记录，并报告了并发症。记录患者的满意度和恢复运动的情况。对独立样本进行学生 t 检验进行统计分析。 结果：50 名平均年龄为 52.12 岁（50-64）、平均随访时间为 53.17 个月（36-68）的患者，术后平均 Lysholm 评分为 93.7（60-100），IKDC 评分为 90.96（57.5-100）。 90% (45) 的患者发生相关损伤，包括：76% (38) 半月板撕裂和 36% (18) 骨软骨损伤。 6% (3) 的患者出现并发症，包括：4% (2) ACL 再次断裂和 2% (1) 感染。在所有患者中，88%（44）人恢复到受伤前的运动水平，96%（48）人感到满意。结论：对于50岁以上的患者，ACL重建似乎是一种安全的手术，其效果与年轻患者相当，并且恢复到受伤前运动水平的可能性很高。 (C) 2014 Elsevier B.V. 保留所有权利。
Purpose: To describe the clinical outcomes of patients over 50 years of age with following anterior cruciate ligament (ACL)reconstruction for acute rupture.Methods: A prospective series of patients over the age of 50 years with a diagnosis of ACL rupture who underwent ACL reconstruction was examined. Lysholm and International Knee Documenting Committee (IKDC) subjective scores were assessed preoperatively and at the final follow-up. All associated injuries were documented, and complications were reported. The patients' satisfaction and return to sports were documented. The statistical analyses were preformed with Student's t-tests for independent samples.Results: Fifty patients with a mean age of 52.12 years (50-64) and a mean follow-up period of 53.17 months (36-68) exhibited a mean postoperative Lysholm score of 93.7 (60-100) and IKDC score of 90.96 (57.5-100). Associated injuries occurred in 90% (45) of the patients and included the following: 76% (38) meniscal tears and 36% (18) osteochondral lesions. Complications occurred in 6% (3) of the patients and included the following: 4% (2) ACL re-ruptures and 2% (1) infections. Among all patients, 88% (44) returned to pre-injury sports levels, and 96% (48) were satisfied.Conclusions: For patients above the age of 50 years, ACL reconstruction appears to be a safe procedure with good to excellent results that are comparable to those for younger patients, and the possibility for returning to preinjury sports levels for these patients is high. (C) 2014 Elsevier B.V. All rights reserved.