Comparison of Clinical Outcomes after Revision Anterior Cruciate Ligament Reconstruction using a Bone-patellar Tendon-bone Autograft and that Using a Double-Bundle Hamstring Tendon Autograft
Comparison of Clinical Outcomes after Revision Anterior Cruciate Ligament Reconstruction using a Bone-patellar Tendon-bone Autograft and that Using a Double-Bundle Hamstring Tendon Autograft
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骨-髌腱-骨自体移植物与双束腘绳肌腱自体移植物翻修重建前交叉韧带的临床效果比较
DOI：
10.1055/s-0041-1740927
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Koga Hideyuki
中科院分区：
文献类型：
--
作者：
Katagiri Hiroki;Nakagawa Yusuke;Miyatake Kazumasa;Ozeki Nobutake;Kohno Yuji;Amemiya Masaki;Sekiya Ichiro;Koga Hideyuki
目的本研究的目的是比较使用骨-髌腱-骨（BPTB）自体移植物和使用双束腘绳肌肌腱（HT）自体移植物的前交叉韧带重建（ACLR）翻修术的临床结果。在末次随访时记录Lysholm膝关节评分和膝关节骨关节炎结局评分（KOOS）。在ACLR翻修前和最终随访时，使用关节测量仪评价轴移试验、Lachman试验和膝关节前松弛度测量。还评价了膝关节外侧松弛度，并观察到侧侧差异。Lysholm膝关节量表，KOOS，轴移测试，Lachman测试，和前膝关节松弛HT与BPTB自体移植受体组之间进行了比较，使用Mann-Whitney测试或thetest.ResultsForty-one谁接受了修订ACLR和随访至少2年的患者。23例患者（BPTB组）的移植物来源为BPTB自体移植物，18例患者（HT组）的移植物来源为双束HT自体移植物。BPTB组的平均术后随访期为44 ± 28个月，HT组为36 ± 18个月（p= 0.38）。最终随访时，HT组疼痛子量表的KOOS（疼痛减轻）显著高于BPTB组（BPTB组84.2 vs. HT组94.4;p= 0.02）。与HT组相比，BPTB组的膝关节前松弛度（上级稳定性）的侧侧差异显著较小（0.3 mm vs. 2.6 mm;p< 0.01）。BPTB组中残留膝前松弛的患者百分比显著低于HT组（9.5% vs. 46.7%;比值比，8.3;研究设计这是一项3级回顾性研究。结论与双膝关节置换术相比，采用BPTB自体移植物的ACLR翻修术在膝关节稳定性恢复方面具有上级效果。束HT自体移植物，而双束HT自体移植物在患者报告的疼痛结局方面上级BPTB自体移植物。两组之间的其余患者报告结局相同。
PurposeThe purpose of this study was to compare clinical outcomes between revision anterior cruciate ligament reconstruction (ACLR) using a bone-patellar tendon-bone (BPTB) autograft and that using a double-bundle hamstring tendon (HT) autograft.MethodsConsecutive cases of revision ACLRs were reviewed. The Lysholm knee scale and Knee Osteoarthritis Outcome Score (KOOS) were recorded at the final follow-up. The pivot shift test, Lachman test, and anterior knee laxity measurement using an arthrometer were evaluated before revision ACLR and at final follow-up. Contralateral knee laxity was also evaluated, and side-to-side differences noted. The Lysholm knee scale, KOOS, the pivot shift test, Lachman test, and anterior knee laxity were compared between HT versus BPTB autograft recipient groups using the Mann–Whitney test or thet-test.ResultsForty-one patients who underwent revision ACLR and followed up for at least 2 years were included. The graft source was a BPTB autograft in 23 patients (BPTB group) and a double-bundle HT autograft in 18 patients (HT group). The mean postoperative follow-up period was 44 ± 28 months in the BPTB group and 36 ± 18 in the HT group (p= 0.38). The HT group had significantly higher KOOS in the pain subscale (less pain) than the BPTB group at the final follow-up (BPTB group 84.2 vs. HT group 94.4;p= 0.02). The BPTB group showed significantly smaller side-to-side difference in anterior knee laxity (superior stability) than the HT group (0.3 vs. 2.6 mm;p< 0.01). The percentage of patients with residual anterior knee laxity in the BPTB group was significantly lower than that in the HT group (9.5% vs. 46.7%; odds ratio, 8.3;p= 0.02).Study DesignThis was a level 3 retrospective study.ConclusionRevision ACLR with a BPTB autograft was associated with superior results regarding restoration of knee joint stability as compared with that with a double-bundle HT autograft, whereas double-bundle HT autograft was superior to BPTB autograft in terms of patient-reported outcomes of pain. The rest of the patient-reported outcomes were equal between the two groups.
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影响因子：
4.6
作者：
Kim DK;Park G;Kadir KBHMS;Kuo LT;Park WH
通讯作者：
Park WH
影响因子：
5.3
作者：
Kim, Sung-Jae;Choi, Chong Hyuk;Jung, Min
通讯作者：
Jung, Min
DOI：
10.1016/j.arthro.2014.02.036
发表时间：
2014-07-01
影响因子：
4.7
作者：
Kvist, Joanna;Kartus, Juri;Forssblad, Magnus
通讯作者：
Forssblad, Magnus
与自体腿筋移植相比，自体髌腱修复的风险较低
影响因子：
4.8
作者：
Tone Gifstad;O. Foss;L. Engebretsen;M. Lind;M. Forssblad;G. Albrektsen;J. O. Drogset
通讯作者：
J. O. Drogset
影响因子：
2.6
作者：
Ding D;Group M
通讯作者：
Group M