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Abstract：
UNASSIGNED: Graft maturation is an important prognostic factor for hamstring autograft anterior cruciate ligament reconstruction (ACLR). It remains unclear whether extracorporeal shock wave therapy (ESWT) can promote graft healing after ACLR.
UNASSIGNED: To evaluate the therapeutic and graft maturation effects of ESWT in hamstring autograft ACLR.
UNASSIGNED: Randomized controlled trial; Level of evidence, 1.
UNASSIGNED: Between May 18, 2019, and September 20, 2019, we randomly assigned 30 patients who met study inclusion criteria to 2 groups. Patients in the control group followed a 5-week advanced rehabilitation training program (30 minutes/session, 5 times/week) starting at 3 months postoperatively. In the ESWT group, together with the 5-week advanced rehabilitation training, radial ESWT was applied once a week for 5 weeks. Functional scores (Lysholm, International Knee Documentation Committee, and Tegner scores), KT-1000 arthrometer knee laxity measurement, and magnetic resonance imaging scans were assessed at 3 months (baseline), 6 months, and 24 months postoperatively. To evaluate graft maturation, we assessed the graft signal-to-noise quotients (SNQs) of the tibial, intra-articular, and femoral sides on magnetic resonance imaging scans. Data were compared between the ESWT and control groups.
UNASSIGNED: In total, 26 patients (13 with ESWT, 13 controls) were assessed. There were no significant between-group differences on any assessment at baseline, and no significant within-group or between-group differences were found in knee laxity at any point. At 24-month follow-up, the ESWT group had significantly higher Lysholm and Tegner scores compared with the controls (P = .012 and .017, respectively). Regarding graft maturation, at 6-month follow-up, the SNQ of the tibial intraosseous graft was significantly lower in the ESWT group versus controls (P = .006), but no differences were detected at the femoral intraosseous graft (P = .321) or the intra-articular graft (P = .314). At 24-month follow-up, the SNQs of the femoral intraosseous graft and intra-articular graft were significantly lower in the ESWT group versus controls (P = .020 and .044, respectively) but no difference was found at the tibial intraosseous graft (P = .579).
UNASSIGNED: Both enhanced graft maturation and improved functional scores at 24-month follow-up were seen in patients who received radial ESWT during rehabilitation after hamstring autograft ACLR.
UNASSIGNED: ChiCTR1900022853 (Chinese Clinical Trial Registry).
UNASSIGNED: To evaluate the therapeutic and graft maturation effects of ESWT in hamstring autograft ACLR.
UNASSIGNED: Randomized controlled trial; Level of evidence, 1.
UNASSIGNED: Between May 18, 2019, and September 20, 2019, we randomly assigned 30 patients who met study inclusion criteria to 2 groups. Patients in the control group followed a 5-week advanced rehabilitation training program (30 minutes/session, 5 times/week) starting at 3 months postoperatively. In the ESWT group, together with the 5-week advanced rehabilitation training, radial ESWT was applied once a week for 5 weeks. Functional scores (Lysholm, International Knee Documentation Committee, and Tegner scores), KT-1000 arthrometer knee laxity measurement, and magnetic resonance imaging scans were assessed at 3 months (baseline), 6 months, and 24 months postoperatively. To evaluate graft maturation, we assessed the graft signal-to-noise quotients (SNQs) of the tibial, intra-articular, and femoral sides on magnetic resonance imaging scans. Data were compared between the ESWT and control groups.
UNASSIGNED: In total, 26 patients (13 with ESWT, 13 controls) were assessed. There were no significant between-group differences on any assessment at baseline, and no significant within-group or between-group differences were found in knee laxity at any point. At 24-month follow-up, the ESWT group had significantly higher Lysholm and Tegner scores compared with the controls (P = .012 and .017, respectively). Regarding graft maturation, at 6-month follow-up, the SNQ of the tibial intraosseous graft was significantly lower in the ESWT group versus controls (P = .006), but no differences were detected at the femoral intraosseous graft (P = .321) or the intra-articular graft (P = .314). At 24-month follow-up, the SNQs of the femoral intraosseous graft and intra-articular graft were significantly lower in the ESWT group versus controls (P = .020 and .044, respectively) but no difference was found at the tibial intraosseous graft (P = .579).
UNASSIGNED: Both enhanced graft maturation and improved functional scores at 24-month follow-up were seen in patients who received radial ESWT during rehabilitation after hamstring autograft ACLR.
UNASSIGNED: ChiCTR1900022853 (Chinese Clinical Trial Registry).
摘要：
UASSIGNED：移植物成熟是自体绳肌腱移植前交叉韧带重建（ACLR）的重要预后因素。目前尚不清楚体外冲击波疗法（ESWT）是否可以促进ACLR后的移植物愈合。
UNASSIGNED：评估ESWT在自体肌腱移植ACLR中的治疗和移植物成熟效果。
未经批准：随机对照试验；证据水平，1.
UNASSIGNED：在2019年5月18日至2019年9月20日之间，我们将30名符合研究纳入标准的患者随机分为两组。对照组患者遵循为期5周的高级康复训练计划（30分钟/次，5次/周）从术后3个月开始。在ESWT组中,加上为期5周的高级康复训练，放射状ESWT每周应用一次，共5周。功能评分（Lysholm，国际膝关节文献委员会，和Tegner得分)，KT-1000关节仪膝关节松弛度测量,和磁共振成像扫描在3个月（基线）进行评估，6个月,术后24个月。为了评估移植物成熟，我们评估了胫骨的移植物信噪比（SNQs），关节内,和磁共振成像扫描的股骨侧。比较ESWT组和对照组的数据。
未经批准：总共，26例患者（13例ESWT，13个对照）进行了评估。基线时的任何评估均无显着组间差异，在任何时间点，膝关节松弛均未发现明显的组内或组间差异。在24个月的随访中，与对照组相比,ESWT组的Lysholm和Tegner评分显著较高(分别为P=.012和.017).关于移植物成熟，在6个月的随访中，与对照组相比，ESWT组的胫骨骨内移植物的SNQ明显降低（P=.006），但是在股骨骨内移植物（P=.321）或关节内移植物（P=.314）中未检测到差异。在24个月的随访中，ESWT组的股骨骨内移植物和关节内移植物的SNQs显著低于对照组(分别为P=.020和.044),但胫骨骨内移植物的SNQs无差异(P=.579).
UNASSIGNED：在24个月的随访中，在自体肌腱移植ACLR后的康复期间接受放射状ESWT的患者中观察到了增强的移植物成熟和改善的功能评分。
未经批准：ChiCTR1900022853（中国临床试验注册中心）。
UNASSIGNED：评估ESWT在自体肌腱移植ACLR中的治疗和移植物成熟效果。
未经批准：随机对照试验；证据水平，1.
UNASSIGNED：在2019年5月18日至2019年9月20日之间，我们将30名符合研究纳入标准的患者随机分为两组。对照组患者遵循为期5周的高级康复训练计划（30分钟/次，5次/周）从术后3个月开始。在ESWT组中,加上为期5周的高级康复训练，放射状ESWT每周应用一次，共5周。功能评分（Lysholm，国际膝关节文献委员会，和Tegner得分)，KT-1000关节仪膝关节松弛度测量,和磁共振成像扫描在3个月（基线）进行评估，6个月,术后24个月。为了评估移植物成熟，我们评估了胫骨的移植物信噪比（SNQs），关节内,和磁共振成像扫描的股骨侧。比较ESWT组和对照组的数据。
未经批准：总共，26例患者（13例ESWT，13个对照）进行了评估。基线时的任何评估均无显着组间差异，在任何时间点，膝关节松弛均未发现明显的组内或组间差异。在24个月的随访中，与对照组相比,ESWT组的Lysholm和Tegner评分显著较高(分别为P=.012和.017).关于移植物成熟，在6个月的随访中，与对照组相比，ESWT组的胫骨骨内移植物的SNQ明显降低（P=.006），但是在股骨骨内移植物（P=.321）或关节内移植物（P=.314）中未检测到差异。在24个月的随访中，ESWT组的股骨骨内移植物和关节内移植物的SNQs显著低于对照组(分别为P=.020和.044),但胫骨骨内移植物的SNQs无差异(P=.579).
UNASSIGNED：在24个月的随访中，在自体肌腱移植ACLR后的康复期间接受放射状ESWT的患者中观察到了增强的移植物成熟和改善的功能评分。
未经批准：ChiCTR1900022853（中国临床试验注册中心）。
