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首页> 外文期刊>Archives of orthopaedic and trauma surgery. >Lateral extra-articular tenodesis with ACL reconstruction demonstrates better patient-reported outcomes compared to ACL reconstruction alone at 2 years minimum follow-up
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Lateral extra-articular tenodesis with ACL reconstruction demonstrates better patient-reported outcomes compared to ACL reconstruction alone at 2 years minimum follow-up

机译：与ACL重建的横向疗摸成本证明了与单独的ACL重建相比，在2年的最低随访中，更好地证明了更好的患者报告的结果

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Purpose The role for extra-articular procedures in addition to ACL reconstruction to restore rotational stability is debated. We use lateral extra-articular tenodesis (LEAT) for patients that meet criteria. Our null hypothesis was that there would be no difference between two groups of patients that were treated with ACL reconstruction alone or ACL reconstruction with LEAT according to criteria.Methods A prospectively collected database of patients that were treated primarily according to the presence of a high-grade pivot shift with LEAT at the time of ACL reconstruction was propensity-matched with a group of patients that underwent ACL reconstruction alone. Minimum follow-up was 2 years. Stratified variable analysis of the groups was also performed. Results There were 218 and 55 patients in the ACL reconstruction group and ACL reconstruction with LEAT group, respectively. There were 125 patients and 46 patients after propensity matching with a median follow-up of 52 months and 27 months, respectively. Post-operative Lysholm score (P = 0.005), Tegner activity index (P = 0.003) and time to return to sport (P< 0.001) favoured ACL reconstruction with LEAT compared to ACL reconstruction alone. Sports with frequent change of direction maneuvers and higher rates of ACL injury (rugby, soccer, skiing) favoured ACL reconstruction with LEAT versus ACL reconstruction alone (P = 0.001). No significant difference in re-operation rate or type of surgery was found between the two surgical groups after propensity matching but 13 patients in the ACL reconstruction-only group re-injured their ACL, 8 of whom required supplementary LEAT at the time of revision surgery.Conclusion Patient-reported outcomes and return to multi-directional sports after ACL reconstruction favour LEAT at the time of ACL reconstruction when narrow inclusion criteria are applied.
机译：目的除了ACL重建外，还讨论了恢复旋转稳定性的外关节手术的作用。我们为符合标准的患者使用侧向关节型成品（LEAT）。我们的零假设是，两组患者之间的患者与根据标准的标准，用ACL重建或ACL重建治疗的患者没有差异。方法是主要收集的患者数据库主要根据高度的存在治疗在ACL重建时与碱度枢转转移与一组接受ACL重建的一组患者匹配。最低随访时间为2年。还进行了分层可变分析。结果分别有218例和55名患者分别在ACL重建组和Leat组重建中。倾向匹配后125名患者和46名患者分别为52个月和27个月的中位随访。术后Lysholm评分（P = 0.005），TEGNERS活动指数（P = 0.003）和返回运动的时间（P <0.001）与单独的ACL重建相比，利用LEEL重建。运动经常改变方向时机，较高的ACL损伤率（橄榄球，足球，滑雪）赞成ACL重建与单独的acl重建（p = 0.001）。在两种外科群体匹配后，在两种外科群体之间没有发现重新操作率或手术类型的显着差异，但ACL重建的13名患者重新损伤他们的ACL，其中8名在修订手术时需要补充物品。结论患者报告的结果，并在ACL重建后返回多向运动，在应用窄夹杂制标准时ACL重建时偏好。

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