典型文献
Interference screws vs.suture anchors for isolated medial patellofemoral ligament femoral fixation:A systematic review
文献摘要:
Purpose:The present study aimed to systematically review and compare 2 femoral autograft fixation techniques,namely,interference screws and suture anchors,for isolated medial patellofemoral ligament reconstruction in patients with recurrent patellofemoral instability at mid-to long-term follow-up.Methods:A literature search was performed in September 2020.All studies reporting the outcomes of primary isolated medial patellofemoral lig-ament reconstruction for recurrent patellofemoral instability were considered for inclusion.Only studies reporting the type of femoral autograft fixation under examination were considered.Studies reporting data from patients with elevated tibial tuberosity-tibial groove,patella alta,and/or Dej our's trochlear dysplasia types C and D,were not included.Only articles reporting data with a minimum follow-up period of 18 months were considered.Results:Data from 19 studies (615 patients) were retrieved.The overall age was 24.4 ± 6.7 years (mean ± SD).The mean follow-up was 46.5 ± 20.9 months.There were 76 patients in the anchor group and 539 in the screw group.Comparability was found with regard to age and follow-up duration between the 2 study groups.There was comparability between the Kujala,Lysholm,and Tegner scores at baseline.At the last follow-up,no worthy differences were found in terms of mean Kujala (+2.1%;p=0.04),Lysholm (+1.7%;p 0.05),and Tegner (+15.8%;p 0.05) scores.Although complications occurred almost exclusively in the screw cohort,no statistically significant difference was found.Conclusion:Femoral autograft fixation through interference screws or suture anchors report similar clinical scores and rate of apprehension test,persistent joint instability,re-dislocations,and revisions.These results must be interpreted within the limitations of the present study.
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作者姓名:
Filippo Migliorini;Alice Baroncini;J(o)rg Eschweiler;Markus Tingart;Nicola Maffulli
作者机构:
Department of Orthopaedics,University Clinic Aachen,Rheinisch-Westf(a)lische Technische Hochschule (RWTH) Aachen University Clinic,Aachen 52074,Germany;Department of Medicine,Surgery and Dentistry,University of Salerno,Baronissi 84081,Italy;School of Pharmacy and Bioengineering,School of Medicine,Keele University,Stoke on Trent ST4 7QB,UK;Centre for Sports and Exercise Medicine,Barts and the London School of Medicine and Dentistry,Mile End Hospital,Queen Mary University of London,London E1 4DG,UK
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引用格式:
[1]Filippo Migliorini;Alice Baroncini;J(o)rg Eschweiler;Markus Tingart;Nicola Maffulli-.Interference screws vs.suture anchors for isolated medial patellofemoral ligament femoral fixation:A systematic review)[J].运动与健康科学(英文),2022(01):123-129
A类:
patella,alta,Dej,Comparability,apprehension
B类:
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AB值:
0.464224
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