Abstract：
BACKGROUND: In orthopaedics, anterior cruciate ligament (ACL) reconstructions are among the most common surgical interventions. Two methods are preferably used: autografts from the hamstring tendon (HT) or patella tendon (PT). The purpose of this meta-analysis was to compare these two methods when returning to sports.
METHODS: Eleven studies were included based on a literature search conducted in PubMed. The primary outcome was return to preinjury sport level in athletes. Post-operative results such as the Lysholm score, the International Knee Documentation Committee (IKDC) subjective score, the Tegner Activity Score and KT-1000 arthrometry and autograft re-rupture rates were analysed as secondary outcomes.
RESULTS: The analysis showed no significant difference in return to preinjury sports level at a two-year follow-up between patients operated with hamstring or patella autograft. Considering the secondary outcomes, no significant differences were recorded in Lysholm score, IKDC score or re-rupture rate. The Tegner Activity Scale demonstrated a significantly higher activity level in the PT group than in the HT group (OR 0.79, p = 0.003). At the two-year follow-up, the KT-1000 arthrometer analysis also showed a significant difference in laxity, which was higher for the HT autografts (OR -0.31, p = 0.02).
CONCLUSIONS: This study showed no significant differences between hamstring and patella autografts. Even so, the choice of method when operated for ACL rupture remains crucial for the individual and should be a weighted decision made jointly by the patient and the physician.
METHODS: Eleven studies were included based on a literature search conducted in PubMed. The primary outcome was return to preinjury sport level in athletes. Post-operative results such as the Lysholm score, the International Knee Documentation Committee (IKDC) subjective score, the Tegner Activity Score and KT-1000 arthrometry and autograft re-rupture rates were analysed as secondary outcomes.
RESULTS: The analysis showed no significant difference in return to preinjury sports level at a two-year follow-up between patients operated with hamstring or patella autograft. Considering the secondary outcomes, no significant differences were recorded in Lysholm score, IKDC score or re-rupture rate. The Tegner Activity Scale demonstrated a significantly higher activity level in the PT group than in the HT group (OR 0.79, p = 0.003). At the two-year follow-up, the KT-1000 arthrometer analysis also showed a significant difference in laxity, which was higher for the HT autografts (OR -0.31, p = 0.02).
CONCLUSIONS: This study showed no significant differences between hamstring and patella autografts. Even so, the choice of method when operated for ACL rupture remains crucial for the individual and should be a weighted decision made jointly by the patient and the physician.
摘要：
背景：在骨科，前交叉韧带（ACL）重建是最常见的手术干预措施之一。优选地使用两种方法:来自腿筋肌腱(HT)或髌骨肌腱(PT)的自体移植物。这项荟萃分析的目的是在重返体育运动时比较这两种方法。
方法：根据PubMed进行的文献检索，纳入了11项研究。主要结果是恢复到运动员受伤前的运动水平。术后结果如Lysholm评分,国际膝关节文献委员会(IKDC)主观评分，Tegner活动评分,KT-1000关节测量和自体移植物再破裂率作为次要结局进行分析.
结果：分析显示，在两年的随访中，使用自体腿筋或髌骨移植的患者在恢复到损伤前运动水平方面没有显着差异。考虑到次要结果，Lysholm评分没有显著差异，IKDC评分或再破裂率。Tegner活动量表显示PT组的活动水平明显高于HT组（OR0.79，p=0.003）。在为期两年的随访中，KT-1000关节仪分析也显示了松弛度的显着差异，对于HT自体移植物较高（OR-0.31，p=0.02）。
结论：本研究显示，绳肌腱和髌骨自体移植物之间没有显著差异。即便如此,ACL破裂手术方法的选择对个体来说仍然至关重要,应由患者和医师共同做出加权决定.
方法：根据PubMed进行的文献检索，纳入了11项研究。主要结果是恢复到运动员受伤前的运动水平。术后结果如Lysholm评分,国际膝关节文献委员会(IKDC)主观评分，Tegner活动评分,KT-1000关节测量和自体移植物再破裂率作为次要结局进行分析.
结果：分析显示，在两年的随访中，使用自体腿筋或髌骨移植的患者在恢复到损伤前运动水平方面没有显着差异。考虑到次要结果，Lysholm评分没有显著差异，IKDC评分或再破裂率。Tegner活动量表显示PT组的活动水平明显高于HT组（OR0.79，p=0.003）。在为期两年的随访中，KT-1000关节仪分析也显示了松弛度的显着差异，对于HT自体移植物较高（OR-0.31，p=0.02）。
结论：本研究显示，绳肌腱和髌骨自体移植物之间没有显著差异。即便如此,ACL破裂手术方法的选择对个体来说仍然至关重要,应由患者和医师共同做出加权决定.
