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首页> 外文期刊>Arthroscopy: the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association >Clinical Outcomes, Return to Sports, and Patient Satisfaction After Anterior Cruciate Ligament Reconstruction in Young and Middle-Aged Patients in an Asian PopulationdA 2-Year Follow-up Study
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Clinical Outcomes, Return to Sports, and Patient Satisfaction After Anterior Cruciate Ligament Reconstruction in Young and Middle-Aged Patients in an Asian PopulationdA 2-Year Follow-up Study

机译：临床结果，恢复体育，患者在亚洲人口达2年后续研究中的年轻和中年患者的韧带重建后患者满意度

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Purpose: To compare the clinical outcomes of arthroscopic anterior cruciate ligament (ACL) reconstruction in young and middle-aged Asians. Methods: A retrospective study was performed using prospectively collected data from a tertiary institution ACL registry. All Asian patients with ACL tears who underwent primary arthroscopic ACL reconstruction by a single surgeon between 2008 and 2014, with minimum 2-year follow-up, were included. Patients with previous knee surgery or multiligamentous knee injuries were excluded. Two groups were formed: young patients (YP) (age 30) and middle-aged patients (MP) (age 40). They were compared preoperatively and 6 months, 1 year, and 2 years post-operatively for demographics, knee range of motion, anterior laxity, Tegner level, Lysholm and International Knee Documentation Committee grade, ability to return to preinjury level of activity, and patient satisfaction. Results: YP (n = 84) and MP (n = 22) had differences in mean age (YP = 23.1 years, range 18-29 years; MP = 46.4 years, range 41-59 years, P .001), preinjury Tegner level (YP = 7.4, MP = 6.4, P = .005), and preoperative Lysholm scores (YP = 65.3, MP = 53.0, P = .034). The incidence of meniscal and chondral injuries was similar. Two years postoperatively, both groups had comparable knee range of motion and anterior laxity. The Tegner score was different (YP = 6.3, MP = 5.2, P = .028), but the proportion of patients returning to preinjury Tegner level (YP = 45.2%, MP = 46.9%, P = .812), Lysholm scores (YP = 92.5, MP = 93.8, P = .794), proportion of patients with knees rated International Knee Documentation Committee A/B (YP = 77.4%, MP = 81.8%, P = .777), and satisfaction levels (YP = 98.5%, MP = 94.1%, P = .370) were similar. There were no graft ruptures or reoperations. Conclusions: In an Asian, predominantly male population, the clinical outcomes of arthroscopic ACL reconstruction in YP and MP are equally good at 2-year follow-up. MP can benefit as much as younger patients from ACL reconstruction in terms of restoration of knee function and return to preinjury activity level, are equally satisfied with outcomes, and should not be excluded from surgery on the basis of age alone. Level of Evidence: Level III, retrospective comparative study.
机译：目的：比较年轻人和中年亚洲人的关节镜前十字韧带（ACL）重建的临床结果。方法：使用来自第三机构ACL注册管理机构的预期收集数据进行回顾性研究。所有亚洲患有ACL泪液的患者，由2008年至2014年间的单个外科医生接受原代关节镜ACL重建，其中包括至少为期2年的随访。患有先前膝关节手术或多根膝关节伤害的患者被排除在外。形成两组：年轻患者（YP）（年龄＆LT; 30）和中年患者（MP）（年龄＆ 40）。术后和6个月，1年和2年可操作地进行比较，可操作地用于人口统计，膝关节，前距，TEGNER水平，Lysholm和国际膝关节委员会等级，返回前肢体的能力和患者的能力满意。结果：YP（n = 84）和MP（n = 22）平均年龄（YP = 23.1岁，范围为18-29岁; MP = 46.4岁，范围41-59岁，P <.001）， Preinjury Tegner水平（YP = 7.4，MP = 6.4，P = .005）和术前Lysholm分数（YP = 65.3，MP = 53.0，P = .034）。半月板和骨髓损伤的发生率类似。术后两年，两组两组都有可比的膝关节运动和前缘。 TEGNER评分不同（YP = 6.3，MP = 5.2，P = .028），但返回前津属TEGNER水平的患者的比例（YP = 45.2％，MP = 46.9％，P = .812），Lysholm分数（ yp = 92.5，mp = 93.8，p = .794），膝关节额定患者的比例国际膝关节委员会a / b（yp = 77.4％，mp = 81.8％，p = .777）和满意度（yp = 98.5％，MP = 94.1％，P = .370）是相似的。没有接枝破裂或重新进展。结论：在亚洲，主要是男性群体，YP和MP中关节镜ACL重建的临床结果在2年的随访时同样良好。 MP可以在膝关节恢复方面从ACL重建的较年轻患者受益，并且返回前肢额活动水平，同样对结果同样满足，并且不应仅仅是根据年龄的手术被排除在外。证据水平：第三级，回顾性比较研究。

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