Suture tape augmentation in the management of anterior cruciate ligament ruptures: a systematic review and meta-analysis.

IF 3 2区医学 Q1 ORTHOPEDICS

Journal of Orthopaedics and Traumatology Pub Date : 2025-05-24 DOI:10.1186/s10195-025-00845-y

Peiyuan Tang, Yangbin Cao, Ying Zhu, Han Tan, Haoxuan Li, Wenfeng Xiao, Ting Wen, Jun Zhang, Yusheng Li, Shuguang Liu

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引用次数: 0

Abstract

Background: The employment of suture tape augmentation (SA) in surgical interventions for anterior cruciate ligament (ACL) ruptures is a subject of ongoing debate. This meta-analysis synthesizes prior research to assess the effectiveness of additional SA in treating ACL tears.

Methods: A total of four databases including PubMed, Embase, Cochrane Library, and Web of Science were searched up to September 2024. Literature screening, quality evaluation, and data extraction were performed according to inclusion and exclusion criteria. Key data extracted include: Lysholm Knee Scoring Scale, International Knee Documentation Committee Score (IKDC), self-assessment numerical evaluation (SANE), Tegner Activity Score, Knee Injury and Osteoarthritis Outcome Score (KOOS), Veterans RAND 12-Item Health Survey (VR-12), Marx Activity Scale, visual analog scale (VAS), KT-1000 anteroposterior knee laxity, and return to sports rate. Meta-analysis of outcome indicators was performed using Revman 5.4 software.

Results: A total of 17 articles were included in this meta-analysis. Pre-post operation effect analysis showed that additional SA was correlated with improved IKDC, Marx Activity Scale, KOOS, VR-12 physical, and VAS for pain. In addition, there were statistically significant differences in SANE (mean difference, MD = 3.26, 95% confidence intervals, 95%CI 0.77, 5.76, P = 0.01, I² = 13%) and VAS for pain (MD = -0.17, 95%CI -0.32, -0.02, P = 0.02, I² = 0%) in the group using the SA technique compared with the traditional surgery group without SA. However, in terms of KT-1000 anteroposterior knee laxity, the traditional surgery group without SA was better than the group with SA (MD = 0.31, 95%CI 0.03, 0.59, P = 0.03, I² = 0%).

Conclusions: On the basis of current evidence, we do not believe that, compared with isolated traditional surgical methods, additional SA can significantly improve patients' functional scores and help patients heal.

查看原文本刊更多论文

缝合带增强治疗前交叉韧带断裂：系统回顾和荟萃分析。

背景：缝合带增强（SA）在前交叉韧带（ACL）破裂手术干预中的应用是一个持续争论的主题。本荟萃分析综合了先前的研究，以评估额外SA治疗前交叉韧带撕裂的有效性。方法：检索截至2024年9月的PubMed、Embase、Cochrane Library、Web of Science 4个数据库。根据纳入和排除标准进行文献筛选、质量评价和资料提取。提取的关键数据包括：Lysholm膝关节评分量表、国际膝关节文献委员会评分（IKDC）、自评数值评价（SANE）、Tegner活动评分、膝关节损伤和骨关节炎结局评分（oos）、退伍军人RAND 12项健康调查（VR-12）、Marx活动量表、视觉模拟量表（VAS）、KT-1000前后位膝关节松弛度、恢复运动率。采用Revman 5.4软件对结局指标进行meta分析。结果：本meta分析共纳入17篇文章。手术前后效果分析显示，SA的增加与IKDC、Marx活动量表、oos、VR-12物理评分和疼痛VAS评分的改善相关。此外，使用SA技术组的SANE （mean difference, MD = 3.26, 95%可信区间，95% ci 0.77, 5.76, P = 0.01, I2 = 13%）和疼痛VAS （MD = -0.17, 95% ci -0.32, -0.02, P = 0.02, I2 = 0%）与不使用SA的传统手术组比较，差异均有统计学意义。但在KT-1000膝关节前后位松松度方面，未行SA的传统手术组优于SA组（MD = 0.31, 95%CI 0.03, 0.59, P = 0.03, I2 = 0%）。结论：根据目前的证据，我们不认为与孤立的传统手术方法相比，额外的SA可以显著提高患者的功能评分并帮助患者愈合。

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 Orthopaedics and Traumatology Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： The Journal of Orthopaedics and Traumatology, the official open access peer-reviewed journal of the Italian Society of Orthopaedics and Traumatology, publishes original papers reporting basic or clinical research in the field of orthopaedic and traumatologic surgery, as well as systematic reviews, brief communications, case reports and letters to the Editor. Narrative instructional reviews and commentaries to original articles may be commissioned by Editors from eminent colleagues. The Journal of Orthopaedics and Traumatology aims to be an international forum for the communication and exchange of ideas concerning the various aspects of orthopaedics and musculoskeletal trauma.