胫骨后斜度对前交叉韧带翻修患者的治疗效果无影响

IF 2.7 Q2 ORTHOPEDICS
Jacob Sorwad, Torsten Grønbech Nielsen, Ole Gade Sørensen, Lars Konradsen, Martin Lind
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引用次数: 0

摘要

目的基于矢状膝关节稳定性和患者主观报告的膝关节功能,研究胫骨后斜率(PTS)对前交叉韧带(ACL)翻修队列术后预后的影响。方法回顾性分析105例ACL翻修患者(平均年龄27.2±6.5岁)的膝关节侧位片,测量胫骨内侧和外侧后坡。目的利用Rolimeter测量膝关节矢状面稳定性。通过膝关节数字-实体评估评分(knee - acl)、膝关节损伤和骨关节炎结局评分(kos)和Tegner活动量表(TAS)问卷获得主观膝关节功能。目的:在ACL翻修手术前和1年随访期间检查前后膝关节松弛度,并在ACL翻修手术前和2年随访期间获得患者报告的结果测量(PROMs)。结果内侧PTS与前(0.16;95%可信区间[CI],−0.06 ~ 0.36,p = 0.15)或ACL翻修手术后1年(0.07;95% CI,−0.14 ~ 0.27,p = 0.54)的膝关节稳定性无相关性。同样,侧位PTS与前(0.30,95% CI, 0.09-0.48, p = 0.01)和ACL翻修手术后一年(0.15,95% CI, - 0.06 - 0.35, p = 0.16)的膝关节稳定性也没有相关性。同样,内侧和外侧PTS与KOOS、knee - acl和TAS之间也没有相关性。平均外侧PTS比内侧PTS陡峭2.6°(p < 0.05)。结论:在本研究中,未发现前交叉韧带(ACL)翻修患者的PTS与矢状位膝关节稳定性或主观膝关节功能相关。接受ACL翻修手术的患者在内侧和外侧PTS之间有很大的平均差异。证据等级四级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Posterior tibial slope has no impact on treatment outcome in anterior cruciate ligament revision patients

Posterior tibial slope has no impact on treatment outcome in anterior cruciate ligament revision patients

Posterior tibial slope has no impact on treatment outcome in anterior cruciate ligament revision patients

Posterior tibial slope has no impact on treatment outcome in anterior cruciate ligament revision patients

Posterior tibial slope has no impact on treatment outcome in anterior cruciate ligament revision patients

Purpose

To investigate the impact of posterior tibial slope (PTS) on postoperative outcome in an anterior cruciate ligament (ACL) revision cohort, based on sagittal knee stability and subjective, patient-reported knee function.

Methods

Lateral knee radiographs from 105 ACL revision patients (mean age 27.2 ± 6.5 years) were retrospectively reviewed and both medial and lateral posterior tibial slope was measured. Objective sagittal knee stability was based on Rolimeter measurements. The subjective knee function was obtained through the Knee Numeric-Entity Evaluation Score (KNEES-ACL), the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Tegner Activity Scale (TAS) questionnaires. Objective anterior–posterior (AP) knee laxity was examined prior to ACL revision surgery and at a one-year follow-up, and the patient reported outcome measures (PROMs) were obtained prior to ACL revision surgery and after a two-year follow-up period.

Results

No correlation was found between medial PTS and knee stability before (0.16; 95% confidence interval [CI], −0.06 to 0.36, p = 0.15) or one year after ACL revision surgery (0.07; 95% CI, −0.14 to 0.27, p = 0.54). Likewise, no correlation was found between lateral PTS and knee stability before (0.30; 95% CI, 0.09–0.48, p = 0.01) and one year after ACL revision surgery (0.15; 95% CI, −0.06 to 0.35, p = 0.16). Likewise, there was no correlation between medial and lateral PTS and KOOS, KNEES-ACL and TAS. The mean lateral PTS was 2.6° steeper than the medial PTS (p < 0.05).

Conclusion

In the present study, PTS was not found to be associated with either sagittal knee stability or subjective knee function in ACL revision patients. Patients undergoing ACL revision surgery have a large mean difference between the medial and the lateral PTS.

Level of Evidence

Level IV.

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来源期刊
Journal of Experimental Orthopaedics
Journal of Experimental Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
3.20
自引率
5.60%
发文量
114
审稿时长
13 weeks
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