新型5股或6股前交叉韧带重建与固定或可调节环悬吊按钮股骨固定的临床结果

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-01-22 DOI:10.1016/j.jor.2025.01.023

Brian R. Wolf , Bruno Butturi Varone , Cameron Barton , Qiang An , Matthew J. Bollier

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引用次数: 0

摘要

背景：前交叉韧带重建（ACLR）腘绳肌腱（HS）自体移植物直径8mm与再破裂率增加相关。已经努力通过使用4股以上来增加接枝直径。本研究的目的是报告移植物的大小和使用新型改良的5-或6链HS ACLR的结果。方法回顾性研究5年期间的原发性ACLR患者。患者根据移植物选择分为两组：5链或6链HS与其余队列（BTB、QT或4链HS）。结果5/6组70例，CG组48例（4链HS 20例，BTB/QT 28例）。平均随访47.7个月。5/6组的再破裂率为2.9%(2/70)，而CG组为8.3% (4/48)（p = .2225）。5/6组的后续手术率为5.7%，而CG组为12.5% （p = 0.3128）。结论5链或6链ACLR提供的移植物尺寸为8mm的病例占98.6%，临床结果良好，包括再破裂率和后续手术率低，患者报告的结果也很好。在平均4年的随访中，与BTB/Quad和4股腿筋移植相比，5股或6股ACLR显示出更低的再破裂率、更低的后续手术率和更低的独眼病变率；然而，这些结果没有统计学意义。

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Clinical outcomes following novel 5- or 6-strand ACL reconstruction with fixed or adjustable loop suspensory button femoral fixation

Background

Anterior cruciate ligament reconstruction (ACLR) hamstring (HS) autograft diameter <8 mm is associated with an increased re-rupture rate. Efforts have been made to increase graft diameter by using more than 4 strands.

The purpose of this study was to report graft sizes and outcomes using a novel modified 5- or 6-strand HS ACLR.

Methods

A retrospective study was conducted with patients who underwent primary ACLR through a 5-year period. Patients were divided into 2 groups based on graft choice: 5- or 6-strand HS versus the remainder of the cohort (BTB, QT, or 4-strand HS).

Results

There were 70 patients in group 5/6, and 48 patients in group CG (20 4-strand HS and 28 BTB/QT). The average follow-up was 47.7 months. Re-rupture rate in Group 5/6 was 2.9 % (2/70) compared to 8.3 % (4/48) (p = .2225) in group CG. The subsequent surgery rate for group 5/6 was 5.7 %, versus 12.5 % for group CG (p = .3128).

Conclusion

5 or 6 Strand ACLR provides graft sizes >8 mm in 98.6 % of cases, good clinical outcomes including low re-rupture and subsequent surgery rates, and good patient-reported outcomes. At an average follow-up of 4 years, 5 or 6 Strand ACLR revealed trends of lower re-rupture rates, lower subsequent surgery rates, and lower cyclops lesion rates compared to BTB/Quad and 4-strand hamstring grafts; however, these results were not statistically significant.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.