文献回顾前交叉韧带重建ACLR可 [复制链接]

IsAnteriorCruciateLigamentReconstructionEffectiveinPreventingSecondaryMeniscalTearsandOsteoarthritis?

前交叉韧带重建是否能有效预防继发半月板损伤和骨关节炎？

作者：ThomasLSanders,HilalMaraditKremers,AndrewJBryan,KristinMFruth,DirkRLarson,AyooshPareek,BruceALevy,MichaelJStuart,DianeLDahm,AaronJKrych

杂志：AmJSportsMed.Jul;44(7):-.

DOI:10./

IF：5.81

Background

Reconstructionofanteriorcruciateligament(ACL)tearsmaypotentiallypreventthedevelopmentofsecondarymeniscalinjuriesandarthritis.

前交叉韧带撕裂重建（ACLR）可能有效预防继发半月板损伤和关节炎

Purpose/hypothesis

Thepurposeofthisstudywasto(1)evaluatetheprotectivebenefitofACLreconstruction(ACLR)inpreventingsubsequentmeniscaltearsorarthritis,(2)determineifearlierACLR(1yearafterinjury)offersgreaterprotectivebenefitsthandelayedreconstruction(≥1yearafterinjury),and(3)evaluatefactorspredictiveoflong-termsequelaeafterACLR.Thehypothesiswasthattheincidenceofsecondarymeniscaltears,arthritis,andtotalkneearthroplasty(TKA)wouldbehigherinpatientstreatednonoperativelyafterACLtearsthanpatientstreatedwithsurgicalreconstruction.

本研究旨在：（1）评估ACLR对于继发半月板损伤和关节炎的保护、预防作用；（2）探究早期重建（受伤后1年内）是否比延迟重建（受伤1年及其以后）提供更大的保护作用；（3）评估可预测ACLR长期效果的因素。研究假设是：ACL撕裂后，相比于手术重建患者，非手术治疗的患者继发半月板撕裂、关节炎和全膝关节置换术（TKA）的发生率更高。

StudyDesign

Cohortstudy;Levelofevidence,3.

队列研究；证据等级：3。

Methods

Thisretrospectivestudyincludedapopulation-basedincidencecohortofpatientswithnew-onset,isolatedACLtearsbetweenandaswellasanage-andsex-matchedcohortofpatientswithoutACLtears.Achartreviewwasperformedtocollectinformationrelatedtotheinitialinjury,treatment,andout