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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >Managing anterior cruciate ligament deficiency in the skeletally immature individual: a systematic review of the literature.
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Managing anterior cruciate ligament deficiency in the skeletally immature individual: a systematic review of the literature.

机译：在骨骼未成熟个体中处理前十字韧带缺乏症：文献的系统评价。

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OBJECTIVE: To perform a systematic review of the literature to answer whether early ACL reconstruction for a skeletally immature individuals result in improved outcome compared with nonsurgical treatment or delaying the reconstruction until skeletal maturity in the pediatric athlete. DATA SOURCES: Articles were restricted to the English language, and 6 databases were searched (MEDLINE, CINAHL, EMBASE, ACP Journal Club, Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews). The following keywords were used: anterior cruciate ligament, ACL, child, immature, pediatric, pediatric, and young. SELECTION CRITERIA: All studies examining the ACL reconstruction in skeletally immature individuals, including citations describing complications. Excluded were articles looking at ACL repairs and ACL avulsion injuries. All types of study design, including review articles, were included. Comparative studies were reviewed in detail and analyzed qualitatively. DATA EXTRACTION AND SYNTHESIS: A total of 615 articles were identified. Sixty-six articles met the inclusion and exclusion criteria. There were no articles with levels of evidence better than level III. The majority of the articles represented case series and reviews with expert opinion. RESULTS: There were 7 articles that provided comparisons between surgical and nonsurgical treatment in order to answer the question. CONCLUSIONS: The study designs are inadequate to answer the question of whether early or delayed ACL reconstruction results in the best possible outcome in skeletally immature individuals. Future prospective studies are required to answer the question adequately. A proposed algorithm was described to deal with the question.
机译：目的：对文献进行系统的回顾，以回答与非手术治疗相比，骨骼未成熟个体的早期ACL重建是否会改善预后，还是会延迟重建直到小儿运动员的骨骼成熟。数据来源：文章仅限于英语，并搜索了6个数据库（MEDLINE，CINAHL，EMBASE，ACP Journal Club，Cochrane对照试验中央注册和Cochrane系统评价数据库）。使用了以下关键词：前交叉韧带，ACL，儿童，未成熟，儿科，儿科和年轻。选择标准：所有检查骨骼未成熟个体的ACL重建的研究，包括描述并发症的引用。排除了有关ACL修复和ACL撕脱伤的文章。所有类型的研究设计，包括评论文章，都包括在内。比较研究进行了详细的审查和定性分析。数据提取与合成：共鉴定到615篇文章。符合纳入和排除标准的文章达66条。没有文章的证据水平高于第三级。大多数文章代表案例系列和专家意见的审查。结果：有7篇文章提供了手术和非手术治疗之间的比较，以回答这个问题。结论：本研究设计不足以回答骨骼早熟个体早期或延迟ACL重建能否获得最佳结果的问题。需要未来的前瞻性研究来充分回答这个问题。描述了提出的算法来处理该问题。

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