Abstract：
OBJECTIVE: The associated damage to articular cartilage in anterior cruciate ligament (ACL) injured patients is a well-recognized phenomenon; however, there is a relative paucity in the literature regarding the different treatment techniques and outcomes. The purpose of this systematic review was to identify patients treated for acute ACL rupture and associated cartilage injury, with interest in the surgical management of these chondral injuries and any difference in patient-reported outcome measures (PROMs) differing techniques.
METHODS: A systematic review was performed looking for treatment or management of International Cartilage Repair Society grade 3 or 4 articular cartilage injury at the time of ACL reconstruction.
RESULTS: Seventeen studies fit the criteria, a total of 892 patients were included, 64.6% were male with a mean age of 33.7 and the average time to follow-up was 41.7 months. 68.2% of the lesions were on the medial femoral condyle (MFC) with a mean lesion size of 3.9 cm2. Six different operative methods of dealing with chondral lesions were identified, there was no significant difference in PROMs between the techniques, although there was a significant difference between the preoperative and postoperative outcome measures.
CONCLUSIONS: The systematic review found that chondral defects on the MFC are more common in concomitant ACL injuries, despite the pattern of bone bruising being more common on the lateral femoral condyle as reported in the literature. It also found no significant difference in the PROMs between the six different techniques identified for the concomitant management of ACL reconstruction and chondral defects.
METHODS: Level II.
METHODS: A systematic review was performed looking for treatment or management of International Cartilage Repair Society grade 3 or 4 articular cartilage injury at the time of ACL reconstruction.
RESULTS: Seventeen studies fit the criteria, a total of 892 patients were included, 64.6% were male with a mean age of 33.7 and the average time to follow-up was 41.7 months. 68.2% of the lesions were on the medial femoral condyle (MFC) with a mean lesion size of 3.9 cm2. Six different operative methods of dealing with chondral lesions were identified, there was no significant difference in PROMs between the techniques, although there was a significant difference between the preoperative and postoperative outcome measures.
CONCLUSIONS: The systematic review found that chondral defects on the MFC are more common in concomitant ACL injuries, despite the pattern of bone bruising being more common on the lateral femoral condyle as reported in the literature. It also found no significant difference in the PROMs between the six different techniques identified for the concomitant management of ACL reconstruction and chondral defects.
METHODS: Level II.
摘要：
目的：前交叉韧带（ACL）损伤患者关节软骨的相关损伤是一个公认的现象；然而，关于不同治疗技术和结果的文献相对缺乏.这项系统评价的目的是确定接受急性ACL断裂和相关软骨损伤治疗的患者。对这些软骨损伤的手术管理以及患者报告的结果测量（PROM）不同技术的任何差异感兴趣。
方法：对ACL重建时国际软骨修复协会3级或4级关节软骨损伤的治疗或管理进行了系统评价。
结果：17项研究符合标准，共纳入892名患者，64.6%为男性，平均年龄33.7岁，平均随访时间41.7个月。68.2％的病变位于股骨内侧髁（MFC）上，平均病变大小为3.9cm2。确定了六种不同的治疗软骨病变的手术方法，两种技术之间的PROM没有显着差异，尽管术前和术后预后指标之间存在显着差异。
结论：系统评价发现MFC上的软骨缺损在伴随ACL损伤中更为常见，尽管据文献报道，股骨外侧髁上的骨瘀伤更为常见。它还发现，针对ACL重建和软骨缺损的伴随管理确定的六种不同技术之间的PROM没有显着差异。
方法：二级。
方法：对ACL重建时国际软骨修复协会3级或4级关节软骨损伤的治疗或管理进行了系统评价。
结果：17项研究符合标准，共纳入892名患者，64.6%为男性，平均年龄33.7岁，平均随访时间41.7个月。68.2％的病变位于股骨内侧髁（MFC）上，平均病变大小为3.9cm2。确定了六种不同的治疗软骨病变的手术方法，两种技术之间的PROM没有显着差异，尽管术前和术后预后指标之间存在显着差异。
结论：系统评价发现MFC上的软骨缺损在伴随ACL损伤中更为常见，尽管据文献报道，股骨外侧髁上的骨瘀伤更为常见。它还发现，针对ACL重建和软骨缺损的伴随管理确定的六种不同技术之间的PROM没有显着差异。
方法：二级。
