Functional outcome of anterior cruciate ligament reconstruction with hamstring tendon autograft in Indian population: A systematic review and meta-analysis

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2024-11-12 DOI:10.1016/j.jcot.2024.102805

R. Annamalai , C. Venkatramanaiah , A. Sujhithra , N. Vignesh , D. Danis Vijay

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引用次数: 0

Abstract

Background

Anterior cruciate ligament (ACL) injury is a significant orthopedic issue globally with varying success rates among different populations. Better understanding of functional outcome can help design suitable protocols for ACL reconstruction and recovery. This review aims to evaluate the epidemiological trends and functional outcomes of ACLR procedures in India.

Methods

The review was conducted following PRISMA guidelines, by searching in Google Scholar, Pubmed, Web of Science and Science Direct databases in February 2024. The study encompassed patient demographics, and postoperative outcomes in Indian populations upon ACLR using hamstring tendon autografts. Meta-analysis was conducted with RevMan 5.4 using random-effects models. Funnel plots were used to explore publication bias. Subgroup analyses of follow-up terms and age were also performed.

Results

A total of 26 studies were pooled for overall qualitative and quantitative analysis. Sports injuries (52 %) were found to be more common, followed by road traffic accidents (31 %). Injuries were mostly on the right knees (56 %). Functional outcome analysis using Lysholm Knee Scoring Scale (MD 34.74, 95 % CI 31.58 to 37.89), International Knee Documentation Committee (MD 36.74, 95 % CI 32.36 to 41.13), Tegner Activity Scale (MD 0.90, 95 % CI -0.01 to 1.80) revealed statistically significant overall outcome effect. Statistically non-significant differences were found between follow-up to 6 months and follow-up above 6 months as well as with age. However, meta-analysis showed high level of heterogeneity.

Conclusion

ACLR in Indian population is largely successful in restoring functional activity. However, the outcome of this review is limited by the heterogeneity factor. Further, the Indian studies have not focused on factors affecting the outcome. Therefore, future studies in this direction are needed for understanding the clinical success.

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在印度人群中使用腘绳肌腱自体移植进行前交叉韧带重建的功能结果：系统回顾和荟萃分析

背景前十字韧带（ACL）损伤是全球范围内的一个重要骨科问题，不同人群的成功率各不相同。更好地了解功能结果有助于设计合适的前交叉韧带重建和恢复方案。本综述旨在评估印度前交叉韧带重建手术的流行病学趋势和功能结果。方法该综述遵循 PRISMA 指南，于 2024 年 2 月在 Google Scholar、Pubmed、Web of Science 和 Science Direct 数据库中进行搜索。研究涵盖了印度使用腘绳肌腱自体移植进行前交叉韧带重建术的患者人口统计学特征和术后效果。使用RevMan 5.4进行Meta分析，采用随机效应模型。漏斗图用于探讨发表偏倚。此外，还对随访条件和年龄进行了分组分析。研究发现，运动损伤（52%）更为常见，其次是道路交通事故（31%）。受伤部位主要是右膝盖（56%）。使用 Lysholm 膝关节评分量表（MD 34.74，95 % CI 31.58 至 37.89）、国际膝关节文献委员会（MD 36.74，95 % CI 32.36 至 41.13）和 Tegner 活动量表（MD 0.90，95 % CI -0.01 至 1.80）进行的功能结果分析表明，总体结果具有显著的统计学意义。随访 6 个月与随访 6 个月以上之间以及与年龄之间的差异无统计学意义。然而，荟萃分析显示存在高度异质性。然而，本综述的结果受到了异质性因素的限制。此外，印度的研究并未关注影响结果的因素。因此，今后需要在这方面进行研究，以了解临床成功率。

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

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.