经关节外侧入路与经胫骨隧道技术在关节镜下前交叉韧带重建术中的患者预后相似
简介
该研究比较了经胫骨与经外侧入路在亚洲人群ACL重建中的短期效果。结果显示，两组在KT-1000、Tegner活动评分及Lysholm评分上无显著差异，仅术后12个月时经外侧入路组的伸直关节活动度略优，但该差异在24个月时消失。提示两种技术短期疗效相当，临床选择可依据术者偏好。
英文摘要
PURPOSE: To compare the outcomes of the transtibial technique (TT) and the translateral technique (TLL) for anterior cruciate ligament (ACL) reconstruction in an Asian population. METHODS: Patients who underwent either TT or TLL for ACL reconstruction between 2019 and 2021 were identified. Inclusion criteria were skeletal maturity, a magnetic resonance imaging-diagnosed ACL tear, completion of at least 2 of 3 postoperative assessments, and a minimum follow-up of 24 months. Data collected include patient demographics, patient-reported outcome measure scores (Tegner activity scale and Lysholm score), objective clinical outcome scores (KT-1000), and medical records review to identify complications. RESULTS: The average follow-up time was 15.2 months (range: 6 to 24 months) in TT versus 17.5 months (range: 6 to 24 months) in TLL, P value = .622. Recovery of quadriceps function in a cohort of 134 patients was identified as the only significant difference in postoperative functional outcomes between the TT and TLL groups. At 12 months, the extension range of motion in TLL was statistically better than TT (TT: 1.1 ± 3.4 [-2.2, 4.4] vs TLL: -0.9 ± 2.9 [-3.7, 2.0], P = .005). KT-1000 measurement, Tegner activity scale, and Lysholm score were not statistically significant between the TT and TLL groups at 24 months. The follow-up rate (n [%]) between the TT and TLL groups at 12 months was 59 (78.7%) and 50 (84.7%), respectively, and at 24 months was 55 (77.3%) and 47 (79.7%), respectively. CONCLUSIONS: In this Asian cohort, transtibial and translateral ACL reconstruction showed similar short-term outcomes. Small, transient differences in extension recovery favoring TLL did not persist at 24 months. LEVEL OF EVIDENCE: Level III, retrospective comparative study.