选择性前交叉韧带（ACL）重建术治疗部分撕裂效果好，失败率低，患者满意度高，平均随访14年

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-05-09 DOI:10.1016/j.knee.2025.04.015

Nicola Pizza , Pietro Conte , Marco Concha , Francisco J. Simón-Sánchez , Maximiliano Ibañez , Raul Torres Claramunt , Alexandros Sartidis , Michael Hantes , Simone Perelli , Joan Carles Monllau

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引用次数: 0

摘要

本研究的目的是报告一组接受选择性前交叉韧带束重建部分撕裂的患者的长期结果，评估功能结果以及失败率和满意度。假设可以获得良好的临床效果，高满意度和低失败率。方法纳入2008年9月至2011年9月间行选择性韧带束重建的患者。采用客观的国际膝关节文献委员会（IKDC）韧带评估表、Lysholm膝关节量表和Tegner活动水平量表进行功能评估。结果52例患者可随访。平均随访14年（13 ~ 16年）。前内侧束撕裂22例，后外侧束撕裂30例。从术前到最后一次随访，Lysholm患者平均有显著改善(术前64.1±5.1；末次随访95.8±6.2；p & lt;0.001)和主观IKDC(术前56.5±7.5；末次随访91.6±9.8；p & lt;0.001)分数。3例患者在术后第一年进行了ACL翻修手术，其中3例患者报告主观不稳定，累计失败率为11.5%(6/52)，不满意患者占7.7%（4/52）。结论选择性前交叉韧带束重建治疗部分前交叉韧带撕裂效果良好，长期随访（最少13年，平均14年）满意度高（92.3%），翻修率低（5.7%）。

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Good results with low failure rate and high patients’ satisfaction after selective bundle anterior cruciate ligament (ACL) reconstruction for partial tears at average 14-years follow-up

Purpose

Aim of this study was to report the long-term outcomes of a cohort of patients treated with a selective bundle ACL reconstruction of a partial tear evaluating functional results as well as failure and satisfaction rates. The hypothesis was that good clinical results, high satisfaction and low failure rates could be obtained.

Methods

Patients treated with selective bundle ACL reconstruction between September 2008 and September 2011 were included. Functional assessment was performed with the objective International Knee Documentation Committee (IKDC) ligament evaluation form, the Lysholm knee scale and the Tegner activity level scale.

Results

Fifty-two patients were available for follow up. The average follow-up period was 14 years (13–16). Twenty-two had anteromedial bundle tears and 30 had posterolateral bundle tears. On average, a significant improvement was obtained from pre-surgery to last follow-up for Lysholm (pre-surg 64.1 ± 5.1; last follow-up 95.8 ± 6.2; p < 0.001) and subjective IKDC (pre-surg 56.5 ± 7.5; last-follow-up 91.6 ± 9.8; p < 0.001) scores. 3 patients underwent ACL revision surgery in the first-year post-surgery and 3 patients reported subjective instability accounting for a cumulative failure rate of 11.5% (6/52) and 7.7% of dissatisfied patients (4/52).

Conclusion

Selective bundle ACL reconstruction for partial ACL tears enable good to excellent results with high satisfaction (92.3%) and low revision rates (5.7%) at long-term follow-up (minimum 13 years, mean 14 years).

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.