The fate of unrepaired stable ramp lesions: a systematic review.

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Abdulhamit Misir, Ali Yuce
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引用次数: 0

Abstract

This study was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta- Analyses) guidelines. PubMed and Medline databases were searched in October 2023 for studies reporting outcomes of arthroscopic anterior cruciate ligament (ACL) reconstruction and stable medial meniscal ramp lesion treatment. Studies focused on diagnostic approaches, biomechanical properties, unstable ramp lesions, isolated ramp lesions, and concomitant intraarticular/extraarticular pathologies other than ACL rupture are excluded. A total of 314 studies were obtained after the initial search. Six studies met the inclusion criteria. Data from 186 stable medial meniscal ramp lesions that were left unrepaired were retrieved. At the last follow-up, mean preoperative Lysholm and IKDC scores were significantly improved and similar with repair patients and no ramp lesion patients, postoperatively. Healing rate was reported between 58.6% and 87.8%. Knee stability was similar in repaired and nonrepaired patients and a ramp existed and no ramp lesion patients. Although the return to sports rate was similar between ramp existed and no ramp lesion patients, the time to return to sports was higher in ramp existed patients than no ramp patients. Improved functional outcome scores, similar healing rates, knee stability, and return to sports rates can be obtained in repaired and nonrepaired patients as well as ramp lesions existing and no ramp lesion patients when the stable ramp lesions are left unrepaired. The time to return to sport is significantly higher than no ramp lesion patients. Level of Evidence III.

未修复的稳定斜坡病变的命运:系统回顾。
本研究按照PRISMA(系统评价和Meta分析的首选报告项目)指南进行。PubMed和Medline数据库于2023年10月检索了报告关节镜下前交叉韧带(ACL)重建和稳定内侧半月板斜坡病变治疗结果的研究。排除了诊断方法、生物力学特性、不稳定斜坡病变、孤立斜坡病变以及除前交叉韧带破裂以外的伴随关节内/关节外病变的研究。初步检索后,共获得314项研究。6项研究符合纳入标准。我们检索了186例未修复的稳定的内侧半月板斜坡病变的数据。最后一次随访时,术前Lysholm和IKDC平均评分显著提高,与术后修复患者和无斜坡病变患者相似。治愈率为58.6% ~ 87.8%。修复和未修复患者的膝关节稳定性相似,存在斜坡病变和无斜坡病变。虽然坡道存在与无坡道病变患者的恢复运动率相似,但坡道存在患者的恢复运动时间高于无坡道患者。当不修复稳定的斜坡病变时,修复和未修复的患者以及存在斜坡病变和无斜坡病变的患者均可获得改善的功能结局评分、相似的愈合率、膝关节稳定性和恢复运动率。恢复运动的时间明显高于无斜坡病变患者。证据水平
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来源期刊
Acta orthopaedica Belgica
Acta orthopaedica Belgica 医学-整形外科
CiteScore
0.70
自引率
0.00%
发文量
58
审稿时长
4-8 weeks
期刊介绍: Information not localized
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