Bone-patellar tendon-bone, hamstring, and quadriceps tendon autografts for anterior cruciate ligament reconstruction in skeletally immature patients: a systematic review.

IF 6.7 2区医学 Q1 Medicine

British medical bulletin Pub Date : 2024-09-27 DOI:10.1093/bmb/ldae011

Filippo Migliorini, Federico Cocconi, Luise Schäfer, Raju Vaishya, Daniel Kämmer, Nicola Maffulli

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引用次数: 0

Abstract

Introduction: Historically, anterior cruciate ligament (ACL) ruptures in the paediatric age group were managed conservatively with bracing, casting, activity modification, and physical therapy. However, most of these patients had to reduce their sports activities, and secondary damages to the affected knee were prevalent.

Source of data: Published scientific literature in Embase, Web of Science, PubMed, and Google Scholar databases.

Areas of agreement: ACL reconstruction in children with open physes patients is debated. Any damage to the physes around the knee could lead to growth abnormalities and axial deviation of the knee.

Areas of controversy: Different grafts are available and suitable for ACL reconstruction in skeletally immature patients; however, which graft performs better remains unclear.

Growing points: This systematic review compared bone-patellar tendon-bone (BPTB), hamstring tendon (HT), and quadriceps tendon (QT) autografts for ACL reconstruction in skeletally immature patients. The joint laxity, Patient-reported outcome measures (PROMs), return to sport, and complications were compared.

Areas timely for developing research: In skeletally immature patients, HT, BPTB, and QT autografts for ACL reconstruction yielded good outcomes. Comparative studies are strongly required to establish the most suitable autograft.

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骨-髌腱-骨、腘绳肌腱和股四头肌腱自体移植物用于骨骼不成熟患者的前交叉韧带重建：系统性综述。

导言：一直以来，儿科前十字韧带（ACL）断裂都是通过支架、石膏固定、活动调整和物理疗法等保守治疗。然而，大多数患者不得不减少体育活动，受影响膝关节的二次损伤也很普遍：数据来源：Embase、Web of Science、PubMed 和 Google Scholar 数据库中已发表的科学文献：前交叉韧带重建对于腓骨开放的儿童患者存在争议。任何对膝关节周围韧带的损伤都可能导致生长异常和膝关节轴向偏斜：有不同的移植物可供选择，并适用于骨骼不成熟患者的前交叉韧带重建，但哪种移植物效果更好仍不清楚：本系统综述比较了骨-髌腱-骨（BPTB）、腘绳肌腱（HT）和股四头肌腱（QT）自体移植物用于骨骼不成熟患者的前交叉韧带重建。比较了关节松弛程度、患者报告结果指标（PROMs）、运动恢复情况和并发症：在骨骼尚未发育成熟的患者中，HT、BPTB 和 QT 自体移植物用于前交叉韧带重建取得了良好的效果。要确定最合适的自体移植物，强烈要求进行比较研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British medical bulletin 医学-医学：内科

CiteScore

13.10

自引率

1.50%

发文量

审稿时长

>12 weeks

期刊介绍： British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.