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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Bone–Patellar Tendon–Bone Versus Hamstring Tendon Autografts for Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review of Overlapping Meta-analyses
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Bone–Patellar Tendon–Bone Versus Hamstring Tendon Autografts for Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review of Overlapping Meta-analyses

机译：骨髌骨肌腱骨与母牛肌腱自体移植物，用于原发性前十字架韧带重建：重叠元分析的系统回顾

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Background:Previous meta-analyses have compared bone–patellar tendon–bone (BPTB) with hamstring tendon (HT) autografts for primary anterior cruciate ligament reconstruction (ACLR).Purpose:To conduct a systematic review of overlapping meta-analyses comparing BPTB with HT autografts for ACLR to determine which meta-analyses provide the best available evidence.Study Design:Systematic review; Level of evidence, 4.Methods:A systematic review was performed by searching the PubMed and Cochrane Library databases. Search words included “anterior cruciate ligament” AND “patellar tendon” AND “hamstring tendon” AND “meta-analysis.” Results were reviewed to determine study eligibility. Patient outcomes and postoperative complications were extracted from the included meta-analyses. Meta-analysis quality was assessed using the Oxman-Guyatt and Quality of Reporting of Meta-analyses (QUOROM) scores. The Jadad decision algorithm was then utilized to determine which meta-analyses provided the best level of evidence.Results:Sixteen meta-analyses containing an average of 1396 patients met the eligibility criteria. Most studies found BPTB autografts to provide superior stability but more postoperative complications, such as anterior knee pain and kneeling pain. Studies by Gabler et al (2016), Mohtadi et al (2011), and Xie et al (2015) received the highest Oxman-Guyatt and QUOROM scores, and therefore, these meta-analyses proved to provide the highest level of evidence. Additionally, Xie et al was selected as the highest-quality study in this systematic review based on the Jadad decision algorithm.Conclusion:The current best evidence suggests that ACLR with BPTB autografts provides superior static knee stability and that there are fewer postoperative complications in ACLR with HT autografts.
机译：背景：以前的荟萃分析已经将骨髌骨肌腱 - 骨（BPTB）与腿筋肌腱（HT）自体移植物进行比较，用于原发性十字韧带重建（ACLR）.Purpose：对与HT的BPTB进行比较的重叠元分析进行系统审查用于ACLR的自动移植物，以确定哪些元分析提供了最佳可用证据。Study Design：系统评价;证据级别，4.方法：通过搜索PubMed和Cochrane库数据库来执行系统审查。搜索单词包括“前十字架韧带”和“髌骨腱”和“腿筋肌腱”和“荟萃分析”。综述结果以确定研究资格。从包括的荟萃分析中提取患者结果和术后并发症。使用Oxman-Guyatt和Meta-Analys（Quorom）分数的报告质量评估了Meta分析质量。然后利用JADAD决策算法来确定哪些元分析提供了最佳的证据水平。结果：含有平均1396名患者的十六个荟萃分析达到了资格标准。大多数研究发现BPTB自体移植物，以提供卓越的稳定性，但更术后并发症，如前膝部疼痛和跪着疼痛。 Gabler等人（2016）的研究，Mohtadi等人（2011）和谢等（2015）获得了最高的Oxman-Guyatt和黑主分数，因此，这些元分析证明提供了最高级别的证据。此外，谢等人被选中是基于Jadad决策算法的系统审查中的最高质量研究。结论：目前的最佳证据表明，带有BPTB的自体移植物的ACLR提供了卓越的静态膝关节稳定性，并且ACLR术后并发症较少使用HT自动移植物。

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