Clinical outcomes of single-bundle versus double-bundle ACL reconstruction in adolescent elite athletes: A retrospective comparative study.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Acta orthopaedica et traumatologica turcica Pub Date : 2022-01-01 DOI:10.5152/j.aott.2022.21048

B. Toker, T. Erden, G. Dikmen, V. E. Özden, G. Firatli, Ö. Taşer

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引用次数: 2

Abstract

OBJECTIVE The aim of the study was to evaluate the single bundle (SB) and double bundle (DB) anterior cruciate ligament (ACL) reconstruction in terms of graft survival, complications, and patient reported functional outcomes in adolescent athletes. METHODS In this retrospective study, 89 elite adolescent athletes who underwent either SB or DB ACL reconstruction were included. All patients were then divided into two groups: group 1 including 51 patients with SB ACL reconstruction (31 male, 20 female; mean age = 15.4 ± 1.03 years) and group 2 including 38 patients with DB ACL (30 male, 8 female; mean age = 15.7 ± 1.3 years). Clinical data were obtained, comprising skeletal maturity, sports type, ACL reconstruction technique, Lachman scores, KT-1000™ arthrometer measurement, additional meniscal procedures as well as International Knee Documentation Committee (IKDC) score, Cincinnati score, and graft size. RESULTS The mean follow-up period was 53.1 ± 8.6 months in group 1 and 46.4± 9.1 months in group 2 (P = 0.61). The type of ACL reconstruction technique (SB or DB), gender, skeletal maturity, sports type, additional meniscal procedures and Lachman scores were not associated with the re-rupture of the ACL (P > 0.05). Moreover, ACL reconstruction technique did not effect the rate of re-rupture of an ACL. There were 21 re-ruptures (23.5%) and 11 (12.3%) contralateral ACL ruptures in total. Among 21 reruptures, 12 of them were in the DB group while nine of them in the SB group (P > 0.05). The groups did not differ with respect to age, the injured side, the time from injury to surgery, the postoperative follow-up time, or the preoperative physical examination results KT-1000 device (SSD), Cincinnati score, IKDC objective and subjective score,Lachman test and pivot-shift test). CONCLUSION There are no differences in the re-rupture of an ACL, patient reported outcomes, and complications in adolescent elite players, when either an SB or DB technique is performed. LEVEL OF EVIDENCE Level III, Therapeuthic Study.

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青少年精英运动员单束与双束ACL重建的临床结果：一项回顾性比较研究。

目的:本研究旨在评估青少年运动员单束(SB)和双束(DB)前交叉韧带(ACL)重建在移植物存活、并发症和患者报告的功能结局方面的影响。方法回顾性研究89例优秀青少年运动员行前交叉韧带重建。然后将所有患者分为两组:1组51例行SB前交叉韧带重建(男31例，女20例;平均年龄= 15.4±1.03岁)，第二组包括38例DB ACL患者(男性30例，女性8例;平均年龄= 15.7±1.3岁)。获得临床数据，包括骨骼成熟度、运动类型、ACL重建技术、Lachman评分、KT-1000™关节计测量、附加半月板手术以及国际膝关节文献委员会(IKDC)评分、辛辛那提评分和移植物大小。结果1组患者平均随访时间为53.1±8.6个月，2组患者平均随访时间为46.4±9.1个月(P = 0.61)。ACL重建技术类型(SB或DB)、性别、骨骼成熟度、运动类型、额外半月板手术和Lachman评分与ACL再破裂无关(P < 0.05)。此外，ACL重建技术对ACL再破裂率没有影响。对侧ACL断裂21例(23.5%)，11例(12.3%)。21例复发患者中，DB组12例，SB组9例(P < 0.05)。各组在年龄、损伤侧、损伤至手术时间、术后随访时间、术前体检结果(KT-1000设备(SSD)、Cincinnati评分、IKDC客观和主观评分、Lachman检验和pivot-shift检验)等方面均无差异。结论:在青少年优秀球员中，采用SB或DB技术，在ACL再破裂、患者报告的结果和并发症方面没有差异。证据等级:III级，治疗研究。

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

Acta orthopaedica et traumatologica turcica ORTHOPEDICS-

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.