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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Short term results of anterior cruciate ligament augmentation in professional and amateur athletes
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Short term results of anterior cruciate ligament augmentation in professional and amateur athletes

机译：专业和业余运动员前交叉韧带增强的短期结果

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Anterior cruciate ligament (ACL) reconstruction is a widely accepted procedure; however, controversies exist about ACL augmentation. The purpose of this study was to assess the clinical outcomes of ACL augmentation in professional and amateur athletes with isolated single bundle ACL tears. A consecutive series of professional and amateur athletes with partial ACL tears who underwent selective bundle reconstruction were analyzed. Stability was assessed with the Lachman test, anterior-drawer test, pivot-shift test and KT-1000 arthrometer. Functional assessment was performed using the subjective Lysholm questionnaire. Fifty-six patients were enrolled. The mean follow-up period was 19.3 months. All patients had posterolateral bundle (PLB) tears, and no anteromedial bundle (AMB) tears were found. The Lysholm score improved significantly from 78 (SD = 2.69) preoperatively to 96 (SD = 3.41) postoperatively (P value 0.0001). The pivot-shift test, Lachman test and anterior-drawer test results were negative in all cases postoperatively. Anterior tibial translation from neutral was 4.9 mm (SD = 2.7) preoperatively, and decreased significantly to 2.1 (SD = 0.6) postoperatively, measured with a KT-1000 arthrometer (P value 0.00001). In this study, we showed that ACL augmentation had good results in symptomatic professional and amateur athletes, and although further studies are needed to investigate long-term results, we recommend this surgery for all symptomatic athletic patients, especially those who would like to maintain an active lifestyle. Level of evidence IV.
机译：前交叉韧带（ACL）重建是一种广为接受的手术。但是，关于ACL增强存在争议。这项研究的目的是评估在孤立的单束ACL眼泪的专业和业余运动员中ACL增强的临床结果。分析了一系列连续的部分ACL撕裂的专业和业余运动员，他们进行了选择性束重建。通过Lachman试验，前抽屉试验，枢轴移位试验和KT-1000关节压力计评估稳定性。使用主观的Lysholm问卷进行功能评估。共有56名患者入组。平均随访期为19.3个月。所有患者均有后外侧束（PLB）眼泪，未发现前内侧束（AMB）眼泪。 Lysholm评分从术前的78（SD = 2.69）显着提高到术后的96（SD = 3.41）（P值<0.0001）。术后所有病例的枢轴位移测试，拉赫曼测试和前抽屉测试结果均为阴性。术前用中位胫骨前平移为4.9mm（SD = 2.7），经KT-1000关节镜测量，术后明显降至2.1（SD = 0.6）（P值<0.00001）。在这项研究中，我们表明对有症状的专业运动员和业余运动员进行ACL增强治疗效果良好，尽管需要进一步研究以研究长期结果，但我们建议所有有症状运动患者，尤其是那些希望维持健康的有症状的患者进行这项手术。积极的生活方式。证据水平IV。

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