前十字韧带混合残端保留重建术在 1 年后显示出与传统前十字韧带重建术相同的患者报告结果和并发症

Q3 Medicine Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2024-02-01 DOI:10.1016/j.asmr.2023.100875

Vasilios Moutzouros M.D., Joshua P. Castle M.D., Matthew A. Gasparro B.S., Eleftherios L. Halkias B.S., Justin Bennie B.S.

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引用次数: 0

摘要

目的比较前交叉韧带（ACL）混合残端保留重建术（HRPR）与传统前交叉韧带重建术（ACLR）的疗效，并确定12个月后患者报告的疗效、活动范围（ROM）和并发症的差异。方法对2020年12月至2022年1月期间由一名外科医生接受ACLR的患者进行回顾性队列研究。接受 ACL-HRPR 的患者与接受传统 ACLR（骨-髌腱-骨自体移植）的对照组患者进行了比较。术前和术后患者报告结果测量信息系统评分、国际膝关节文献委员会评分以及患者可接受的症状状态均记录在案，为期12个月。结果最终分析包括104名患者，其中39名患者接受了前交叉韧带-HRPR，65名患者接受了前交叉韧带-HRPR。接受 HRPR 的患者平均年龄为（19.46 ± 5.01）岁，其中 51.28% 为女性，而对照组患者平均年龄为（21.92 ± 7.71）岁，其中 50.77% 为女性。两组患者的总 ROM 相当，12 个月时完全终末伸展。术后6个月和12个月时，患者可接受的症状状态、患者报告结果测量信息系统--物理功能、疼痛干扰或抑郁，以及国际膝关节文献委员会均无明显差异。HRPR组和对照组的总ROM相似。在定时6米跳远测试、跳远距离测试或KT-1000侧对侧差异方面没有发现差异。在 12 个月期间，两组的并发症发生率相似（10% vs 12% P = .75）。结论在本回顾性研究中，与对照组患者相比，ACL HRPR 与患者报告的结果、完全 ROM 相当，1 年后的并发症发生率也无差异。

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Anterior Cruciate Ligament Hybrid Remnant Preservation Reconstruction Demonstrates Equivalent Patient-Reported Outcomes and Complications as Traditional Anterior Cruciate Ligament Reconstruction After 1 Year

Purpose

To compare the outcomes of anterior cruciate ligament (ACL) Hybrid Remnant Preservation Reconstruction (HRPR) with traditional anterior cruciate ligament reconstruction (ACLR) and determine differences in patient-reported outcomes, range of motion (ROM), and complications after 12 months.

Methods

A retrospective cohort study of patients undergoing ACLR by a single surgeon from December 2020 to January 2022 was conducted. Patients undergoing ACL-HRPR were compared with control patients undergoing traditional ACLR with bone−patellar tendon−bone autograft. Preoperative and postoperative Patient-Reported Outcome Measurement Information System scores, International Knee Documentation Committee, and patient acceptable symptom state were recorded over 12 months. Any complications occurring 12 months postoperatively were collected.

Results

The final analysis included 104 patients, with 39 undergoing ACL-HRPR compared with 65 ACLR controls. Patients who received HRPR were on average 19.46 ± 5.01 years old, with 51.28% being female, whereas control patients were, on average, 21.92 ± 7.71 years old with 50.77% being female. Total ROM was equivalent between groups, with complete terminal extension at 12 months. No significant differences were found for patient acceptable symptom state; Patient-Reported Outcome Measurement Information System-Physical Function, -Pain Interference, or -Depression; or International Knee Documentation Committee at 6 months and 12 months postoperatively. Total ROM was similar between the HRPR and control groups. No differences were found for timed 6-meter hop test, hop for distance, or KT-1000 side-to-side differences. Over the 12-month period, complication rates were similar between groups (10% vs 12% P = .75) were similar.

Conclusions

ACL HRPR is associated with equivalent patient-reported outcomes, full ROM, and no differences in complications rates after 1 year compared with control patients in the present retrospective study.