髁间切迹小与解剖单束前交叉韧带重建手术效果差无关。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-02-01 Epub Date: 2024-01-15 DOI:10.4055/cios23081
Hyun-Soo Moon, Chong-Hyuk Choi, Min Jung, Je-Hyun Yoo, Hyuk-Jun Kwon, Young-Taek Hong, Sung-Hwan Kim
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引用次数: 0

摘要

背景:尽管已有许多研究探讨了髁间切迹大小与前交叉韧带(ACL)损伤风险之间的关系,但很少有研究探讨其与手术治疗后病情的关系。因此,本研究旨在根据髁间切迹体积调查解剖单束前交叉韧带重建的手术效果:回顾性审查了2015年至2019年期间使用胫骨前肌异体移植进行解剖单束前交叉韧带重建的患者病历。根据术后三维计算机断层扫描图像测量的髁间切迹体积百分位数,将符合条件的患者分为两组(S组,≤第50百分位数的纳入患者;L组,>第50百分位数的纳入患者)。此外,还根据各组髁间切迹体积与身高的归一化值的百分位数进行了分组。从客观和主观两方面对围术期数据和手术结果进行了组间比较分析:研究共纳入 100 名患者。对于男性患者,各组之间的总体手术效果没有差异,而在最终随访时,L 组的膝关节前后(AP)松弛程度明显高于 S 组(最大手动力时的侧向差异 [SSD] p = 0.042)。同样,在女性患者中,两组的总体手术效果没有差异,而 L 组在最终随访时膝关节 AP 松弛度明显高于 S 组(134 N 时的 SSD 为 p = 0.020;最大手动力时的 SSD 为 p = 0.011)。基于髁间切迹体积归一化值的附加分析显示,男性患者的结果一致,女性患者的附加分组与现有分组相同:结论:对髁间凹槽体积相对较小的患者进行解剖学单束前交叉韧带重建的手术效果与凹槽体积较大的患者相当,但在术后膝关节AP松弛方面显示出良好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Small Intercondylar Notch Size Is Not Associated with Poor Surgical Outcomes of Anatomical Single-Bundle Anterior Cruciate Ligament Reconstructions.

Background: Although many studies have been conducted on the association between the intercondylar notch size and the risk of anterior cruciate ligament (ACL) injury, few studies have examined its relationship with the condition after surgical treatment. Therefore, this study aimed to investigate the surgical outcomes of anatomical single-bundle ACL reconstruction according to intercondylar notch volumes.

Methods: Medical records of patients who underwent anatomical single-bundle ACL reconstruction using a tibialis anterior allograft between 2015 and 2019 were retrospectively reviewed. For each sex, eligible patients were classified into two groups based on their percentile of intercondylar notch volumes, which were measured using postoperative three-dimensional computed tomography images (group S, ≤ 50th percentile of included patients; group L, > 50th percentile of included patients). Additional grouping was performed based on the group's percentiles of normalized values of intercondylar notch volumes to body heights. Between-group comparative analyses were performed on the perioperative data and surgical outcomes in both objective and subjective aspects.

Results: One hundred patients were included in the study. For male patients, there were no differences in the overall surgical outcomes between groups, whereas group L showed a significantly greater knee anteroposterior (AP) laxity than group S at the final follow-up (p = 0.042 for the side-to-side differences [SSD] at the maximum manual force). Similarly, there were no differences in the female patients in the overall surgical results between the groups, whereas group L showed a significantly greater knee AP laxity at the final follow-up (p = 0.020 for the SSD at 134 N; p = 0.011 for the SSD at the maximum manual force). Additional analyses based on the normalized values of the intercondylar notch volume showed consistent results for male patients, and additional grouping for female patients was identical to the existing grouping.

Conclusions: The surgical outcomes of anatomical single-bundle ACL reconstruction in patients with relatively small intercondylar notch volumes were comparable to those with large notch volumes, but rather showed favorable outcomes in postoperative knee AP laxity.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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