医学
单室膝关节置换术
前交叉韧带重建术
前交叉韧带
骨关节炎
科克伦图书馆
观察研究
外科
荟萃分析
关节置换术
梅德林
随机对照试验
内科学
法学
替代医学
病理
政治学
作者
Erika Albo,Stefano Campi,Biagio Zampogna,Guglielmo Torre,Giuseppe Francesco Papalia,Lorenzo Alirio Diaz Balzani,Anna Maria Alifano,Rocco Papalia,Vincenzo Denaro
摘要
This systematic review aimed to investigate the clinical and functional outcomes and complication rate of simultaneous anterior cruciate ligament reconstruction (ACLR) and unicompartmental knee arthroplasty (UKA). A systematic search in PubMed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that reported on clinical and functional results of combined ACLR and UKA in adults with a unicompartmental knee osteoarthritis and ACL deficiency. Four retrospective studies and three prospective studies were included in this review. A total of 169 patients were included with a mean follow-up of 6.3 years. The Mean Oxford Knee Score improved from 29.4 to 43.9 at the final follow-up. All the other reported scores significantly improved after surgery. The overall revision rate was 3.5%. The MINORS score ranged from 8 to 14. Association analysis of MINORS score and year of publication, through Pearson's coefficient, showed no significant association (p = -0.089). Simultaneous ACLR and UKA is a safe procedure with a significant postoperative improvement of functional and clinical outcomes for patients with ACL injury that complain of knee instability and isolated medial compartment pain.
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