■在多韧带或内侧副韧带(MCL)重建的情况下,恢复后斜韧带(POL)的天然解剖结构以解决慢性外翻不稳定引起了越来越多的关注。
■回顾目前关于术后结局的文献,并发症,并在浅表MCL-POL(sMCL-POL)重建后恢复运动,以恢复膝关节内侧完整性。
■系统评价;证据水平,4.
根据PRISMA(系统评价和荟萃分析的首选报告项目)指南进行系统评价。两名独立的审阅者搜索了PubMed,Scopus,Embase,和Cochrane图书馆数据库使用术语“后斜韧带”,“膝盖的后内侧角,“和”重建。“纳入的研究报告了接受sMCL-POL联合重建膝关节内侧不稳定的患者的术后临床和功能结果。作者评估了手术技术,康复方案,术后结果(Lysholm,国际膝关节文献委员会[IKDC],和Tegner评分和外翻应力X光片),并在纳入的研究中回归运动和并发症发生率。
■共6项研究进行了综述。该队列包括199名患者(121名男性和78名女性),平均年龄为32.7±3.9岁(范围,27.4-36.6年)。Lysholm和IKDC评分从术前到术后改善(Lysholm,从67.2±20.4到89.4±3;IKDC,从45.8±2.1到84.8±7.5)。Tegner评分产生了令人满意的结果,术前平均值为3.3±2.4至6.3±0.9。外翻应力X线片上的内侧关节开口范围为术前7.5±1.1mm至术后3±3.1mm。通过特定活动的功能和临床试验后,据报道,88%至91.3%的患者在术后6至12个月内恢复了休闲运动,而10%的患者出现术后并发症。
■满意的临床和功能结果,娱乐体育的高回报率,据报道,sMCL-POL重建恢复膝关节内侧完整性后,术后并发症发生率较低。
UNASSIGNED: In cases of multiple ligaments or medial collateral ligament (MCL) reconstruction, restoring the native anatomy of the posterior oblique ligament (POL) to address chronic valgus instability has been attracting increased attention.
UNASSIGNED: To
review the current literature on postoperative outcomes, complications, and return to sports after superficial MCL-POL (sMCL-POL) reconstruction to restore medial knee integrity.
UNASSIGNED: Systematic
review; Level of evidence, 4.
UNASSIGNED: A systematic
review was conducted based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Two independent reviewers searched the PubMed, Scopus, Embase, and Cochrane Library databases using the terms \"posterior oblique ligament,\" \"posteromedial corner of the knee,\" and \"reconstruction.\" Included were studies that reported postoperative clinical and functional outcomes in patients who had undergone a combined sMCL-POL reconstruction for medial knee instability. The authors evaluated surgical technique, rehabilitation protocol, postoperative outcomes (Lysholm, International Knee Documentation Committee [IKDC], and Tegner scores and valgus stress radiograph), and return to sports and complication rates across the included studies.
UNASSIGNED: A total of 6 studies were reviewed. The cohort consisted of 199 patients (121 men and 78 women), with a mean age of 32.7 ± 3.9 years (range, 27.4-36.6 years). The Lysholm and IKDC scores improved from pre- to postoperatively (Lysholm, from 67.2 ± 20.4 to 89.4 ± 3; IKDC, from 45.8 ± 2.1 to 84.8 ± 7.5). The Tegner score produced satisfactory results, from a preoperative mean of 3.3 ± 2.4 to 6.3 ± 0.9 postoperatively. The medial joint opening on valgus stress radiographs ranged from 7.5 ± 1.1 mm preoperatively to 3 ± 3.1 mm postoperatively. After passing activity-specific functional and clinical tests, 88% to 91.3% of the patients were reported to have returned to recreational sports within 6 to 12 months postoperatively, whereas 10% of the patients developed postoperative complications.
UNASSIGNED: Satisfactory clinical and functional outcomes, a high rate of return to recreational sports, and a low rate of postoperative complications were reported after an sMCL-POL reconstruction to restore medial knee integrity.