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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >A Controlled Comparison of Microfracture, Debridement, and No Treatment of Concomitant Full-Thickness Cartilage Lesions in Anterior Cruciate Ligament–Reconstructed Knees: A Nationwide Prospective Cohort Study From Norway and Sweden of 368 Patients With 5-Year Follow-up
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A Controlled Comparison of Microfracture, Debridement, and No Treatment of Concomitant Full-Thickness Cartilage Lesions in Anterior Cruciate Ligament–Reconstructed Knees: A Nationwide Prospective Cohort Study From Norway and Sweden of 368 Patients With 5-Year Follow-up

机译：交叉韧带重建的膝关节微创，清创术和未治疗合并全厚度软骨病变的对照比较：来自挪威和瑞典的全国前瞻性队列研究，对368例患者进行了为期5年的随访

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Background: The effect of microfracture (MF) or surgical debridement of concomitant full-thickness cartilage lesions in anterior cruciate ligament–reconstructed knees on patient-reported outcomes remains to be determined. Purpose: To evaluate the effect of debridement or MF compared with no surgical treatment of concomitant full-thickness cartilage lesions on patient-reported outcomes 5 years after anterior cruciate ligament reconstruction (ACLR). Study Design: Cohort study; Level of evidence, 2. Methods: Included in this study were 644 patients who were registered in the Norwegian and the Swedish National Knee Ligament Registries from 2005 to 2008 as having undergone unilateral primary ACLR and having a concomitant full-thickness cartilage lesion (International Cartilage Repair Society [ICRS] grades 3-4). Of these patients, 129 were treated with debridement, 164 were treated with MF, and 351 received no surgical treatment simultaneously with ACLR. At 5-year follow-up, 368 (57%) patients completed results on the Knee injury and Osteoarthritis Outcome Score (KOOS). Multivariable linear regression was used to estimate the effect of surgical debridement or MF of concomitant full-thickness cartilage lesions on patient-reported outcomes 5 years after ACLR. Results: Compared with no surgical treatment, there were no unadjusted or adjusted effects of debridement or MF of concomitant full-thickness cartilage lesions on KOOS scores at 5-year follow-up. Conclusion: Compared with leaving concomitant full-thickness cartilage lesions untreated at the time of ACLR, debridement and MF showed no effect on patient-reported outcomes 5 years after surgery.
机译：背景：前交叉韧带重建的膝关节微创手术（MF）或手术清创伴随的全层软骨病变对患者报告的结局的影响尚待确定。目的：评估与前交叉韧带重建（ACLR）5年后患者未报告的全厚度软骨病变的手术治疗相比，清创术或MF的效果。研究设计：队列研究;证据等级，2。方法：本研究包括644例患者，这些患者于2005年至2008年在挪威和瑞典国家膝盖韧带注册中心进行了单侧原发性ACLR手术，并伴有全层软骨病变（国际软骨病）维修协会[ICRS] 3-4级）。在这些患者中，有129例接受了清创术治疗，有164例接受了MF治疗，其中351例未经ACLR同时未接受手术治疗。在5年的随访中，有368名（57％）患者完成了膝关节损伤和骨关节炎结果评分（KOOS）的结果。多变量线性回归被用来估计手术清创术或MF伴随全厚度软骨病变对ACLR 5年后患者报告的结局的影响。结果：与不进行外科手术治疗相比，在5年的随访中，清创术或伴发的全层软骨病变的MF对KOOS评分没有未调整或调整的影响。结论：与在ACLR时未治疗伴随的全层软骨病变相比，清创术和MF对术后5年患者报告的结局没有影响。

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