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RODRIGUEZ-MERCHAN, E. Carlos. (1393). Evidence-Based ACL Reconstruction. , 3(1), 9-12. doi: 10.22038/abjs.2015.3769
E. Carlos RODRIGUEZ-MERCHAN. "Evidence-Based ACL Reconstruction". , 3, 1, 1393, 9-12. doi: 10.22038/abjs.2015.3769
RODRIGUEZ-MERCHAN, E. Carlos. (1393). 'Evidence-Based ACL Reconstruction', , 3(1), pp. 9-12. doi: 10.22038/abjs.2015.3769
RODRIGUEZ-MERCHAN, E. Carlos. Evidence-Based ACL Reconstruction. , 1393; 3(1): 9-12. doi: 10.22038/abjs.2015.3769

Evidence-Based ACL Reconstruction

The Archives of Bone and Joint Surgery
مقاله 3، دوره 3، شماره 1، فروردین 2015، صفحه 9-12    اصل مقاله (279.36 K)
نوع مقاله: CURRENT CONCEPTS REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2015.3769
نویسنده
E. Carlos RODRIGUEZ-MERCHAN*
Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain
چکیده
There is controversy in the literature regarding a number of topics related to anterior cruciate ligament (ACL)reconstruction. The purpose of this article is to answer the following questions: 1) Bone patellar tendon bone (BPTB) reconstruction or hamstring reconstruction (HR); 2) Double bundle or single bundle; 3) Allograft or authograft; 4) Early or late reconstruction; 5) Rate of return to sports after ACL reconstruction; 6) Rate of osteoarthritis after ACL reconstruction. A Cochrane Library and PubMed (MEDLINE) search of systematic reviews and meta-analysis related to ACL reconstruction was performed. The key words were: ACL reconstruction, systematic reviews and meta-analysis. The main criteria for selection were that the articles were systematic reviews and meta-analysesfocused on the aforementioned questions. Sixty-nine articles were found, but only 26 were selected and reviewed because they had a high grade (I-II) of evidence. BPTB-R was associated with better postoperative knee stability but with a higher rate of morbidity. However, the results of both procedures in terms of functional outcome in the long-term were similar. The double-bundle ACL reconstruction technique showed better outcomes in rotational laxity, although functional recovery was similar between single-bundle and double-bundle. Autograft yielded better results than allograft. There was no difference between early and delayed reconstruction. 82% of patients were able to return to some kind of sport participation. 28% of patients presented radiological signs of osteoarthritis with a follow-up of minimum 10 years.
کلیدواژه‌ها
ACL؛ BPTB؛ Hamstring؛ Reconstruction
مراجع
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