■与重返运动相比,前十字韧带(ACL)重建(ACLR)后重返工作(RTW)的时机是一个研究较少的里程碑。
■系统评价ACLR后RTW的发生率和术后时机。
■系统评价;证据水平,4.
■这项研究是根据2020PRISMA(系统审查和荟萃分析的首选报告项目)声明进行的。在PubMed中进行了文献检索,Embase,科克伦,以及用于报告ACLR后RTW的临床研究的Ovid数据库,2022年8月确定了806项研究。使用非随机研究方法学指数(MINORS)分级系统进行质量评估。从研究中提取以下数据:研究特征,队列人口统计,ACLR技术,伴随半月板和/或软骨手术,术前患者报告的结果,RTW的比率,以及ACLR后RTW所需的天数。
■共有13项研究符合纳入标准,总计1791名患者(86.4%为男性)。在评估研究的方法学质量中观察到广泛的差异(MINORS评分范围,8-17).76.8%的人使用了绳肌腱(HT)自体移植(n=1377;平均年龄,30.5岁),同种异体移植物占17.1%(n=308;平均年龄,33.1岁),韧带高级加固系统占2.5%(n=46;平均年龄,33.2岁),骨-髌腱-自体骨移植占2%(n=36;平均年龄,28.5岁),股四头肌腱自体移植占1.3%(n=24;平均年龄,24.1岁)。在纳入的患者中,99.1%(n=1781)报告术后RTW成功。RTW的平均时间为84.2天(范围,31.4-107.1天),适用于HT和69.5天(范围,49-56.6天)用于同种异体移植。
■虽然没有关于ACL损伤前后工作强度的数据,我们的研究结果表明,患者最常发生RTW在手术后90天内.同种异体移植物ACLR患者可能比接受HT自体移植物ACLR患者更早发生RTW。
UNASSIGNED: The timing of return to work (RTW) after anterior cruciate ligament (ACL) reconstruction (ACLR) is a less studied milestone compared with return to sports.
UNASSIGNED: To systematically review the rate and postoperative timing of RTW after ACLR.
UNASSIGNED: Systematic review; Level of evidence, 4.
UNASSIGNED: This study was conducted in accordance with the 2020 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. A literature search was performed in PubMed, Embase, Cochrane, and Ovid databases for clinical studies reporting RTW after ACLR, and 806 studies were identified in August 2022. A quality assessment was performed using the Methodological Index of Nonrandomized Studies (MINORS) grading system. The following data were extracted from studies: study characteristics, cohort demographics, ACLR technique, concomitant meniscal and/or cartilage procedures, preoperative patient-reported outcomes, rates of RTW, and days required for RTW after ACLR.
UNASSIGNED: A total of 13 studies met inclusion criteria, totaling 1791 patients (86.4% male). Wide variability was observed in the methodological quality of the assessed studies (MINORS score range, 8-17). Hamstring tendon (HT)
autograft was used in 76.8% (n = 1377; mean age, 30.5 years old), allograft in 17.1% (n = 308; mean age, 33.1 years old), the ligament advanced reinforcement system in 2.5% (n = 46; mean age, 33.2 years old), bone-patellar tendon-bone
autograft in 2% (n = 36; mean age, 28.5 years old), and quadriceps tendon
autograft in 1.3% (n = 24; mean age, 24.1 years old). Among the included patients, 99.1% (n = 1781) reported successful RTW after surgery. The mean time to RTW was 84.2 days (range, 31.4-107.1 days) for HT and 69.5 days (range, 49-56.6 days) for allograft.
UNASSIGNED: While data regarding work intensity before and after ACL injury were absent, our study results suggested that patients most often RTW within 90 days of surgery. Patients with allograft ACLR may RTW earlier than patients undergoing ACLR with HT
autograft.