Is augmentation the best solution in partial anterior cruciate ligament tears? A literature systematic review and meta-analysis

被引：27

作者：

Bosco, Francesco ^{[1
]}

Giustra, Fortunato ^{[1
]}

Crivellaro, Michele ^{[1
]}

Via, Riccardo Giai ^{[1
]}

Lavia, Alessandro Dario ^{[2
]}

Capella, Marcello ^{[1
]}

Sabatini, Luigi ^{[1
]}

Risitano, Salvatore ^{[1
]}

Rovere, Giuseppe ^{[3
]}

Masse, Alessandro ^{[1
]}

Vaishya, Raju ^{[4
]}

机构：

[1] Univ Turin, Orthopaed & Trauma Ctr, Orthopaed & Traumatol Dept, Turin, Italy

[2] Boston Coll, Dept Econ, Chestnut Hill, MA 02167 USA

[3] IRCCS Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli, Dept Orthopaed & Traumatol, Rome, Italy

[4] Indraprastha Apollo Hosp, New Delhi, India

来源：

JOURNAL OF ORTHOPAEDICS | 2023年 / 36卷

关键词：

Partial ACL tear; ACL reconstruction; ACL augmentation; Arthroscopy; Knee; TOTAL KNEE ARTHROPLASTY; REMNANT PRESERVATION; CLINICAL-OUTCOMES; RECONSTRUCTION; BUNDLE; MECHANORECEPTORS; RUPTURE; INJURY; ACL;

D O I：

10.1016/j.jor.2022.11.018

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Purpose: The appropriate management of partial anterior cruciate ligament (ACL) tears is still debated. There is a tendency in orthopedic clinical practice to prefer complete ACL reconstruction, while few surgeons perform ACL augmentation. The purpose of the present study is to evaluate the current evidence on the effectiveness of ACL augmentation compared with standard ACL reconstruction to assess whether ACL augmentation may be the treatment of choice in partial ACL injury.Methods: According to PRISMA guidelines, literature research was performed in PubMed/Medline, Cochrane Library, Embase, Scopus, and Web of Science databases. A PICOS model was used, and a preliminary search resulted in 1101 articles. The methodological quality was assessed through ROBINS-I. A meta-analysis was conducted on postoperative Tegner, Lysholm scores and KT-1000 values between ACL augmentation and ACL reconstruction, and a p < 0.05 has been assumed as statistically significant. PROSPERO, ID: CRD42022343502.Results: Seven papers were included. A total of 472 knees underwent ACL reconstruction, and 311 underwent ACL augmentation. A statistically significant discrepancy was found in the postoperative Tegner score in favor of ACL augmentation compared with ACL reconstruction (p < 0.05). Regarding the postoperative Lysholm score and KT-1000 measurement, no statistically significant difference was shown between ACL reconstruction and ACL augmentation (p > 0.05).Conclusions: ACL augmentation has proved to be an effective and safe procedure and should be preferred to ACL reconstruction in partial ACL tears for the tendency to achieve better functional outcomes.

引用

页码：11 / 17

页数：7

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[31] Registration in the international prospective register of systematic reviews (PROSPERO) of systematic review protocols was associated with increased review quality [J].