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Outcomes of hamstring graft with preserved tibial insertion for ACL reconstruction: systematic review and meta-analysis.
Vari, Nicolas; Cavaignac, Etienne; Cavaignac, Marie; Bérard, Émilie; Marot, Vincent.
Afiliación
  • Vari N; Musculoskeletal Institute, Hôpital Pierre Paul Riquet, CHU Toulouse, Toulouse, France. nicolas.vari@live.fr.
  • Cavaignac E; Musculoskeletal Institute, Hôpital Pierre Paul Riquet, CHU Toulouse, Toulouse, France.
  • Cavaignac M; Clinique Rive Gauche, Toulouse, France.
  • Bérard É; Department of Epidemiology, Health Economics and Public Health, UMR 1295 CERPOP, University of Toulouse, INSERM, UPS, Toulouse University Hospital (CHU), Toulouse, France.
  • Marot V; Orthopaedics Unit, Hospital Nostra Senyora de Meritxell, Escaldes-Engordany, Andorra.
Eur J Orthop Surg Traumatol ; 34(1): 67-73, 2024 Jan.
Article en En | MEDLINE | ID: mdl-37644333
PURPOSE: Evaluate the outcomes of ACL (Anterior Cruciate Ligament) reconstruction techniques that use a hamstring graft with a preserved tibial insertion and compare them to standard techniques. METHODS: A systematic literature review and meta-analysis was done of the PubMed, MEDLINE, Cochrane and Ovid databases to identify published clinical studies on ACL reconstruction in which a non-detached hamstring tendon (NDHT) was used as a graft and to compare them to studies in which a detached hamstring tendon (DHT) or other techniques were used. The eligible studies were analyzed for the knee laxity, Lachman test, pivot shift test, joint range of motion, anterior drawer, pain, re-tear, revision surgery, Lysholm score, Tegner score, ACL-RSI scale, KOOS, IKDC, SNQ and Howell scale. RESULTS: Twelve articles in which NDHT was used for ACL reconstruction were analyzed. There was no significant difference between NDHT and DHT in the Lachman > 1 (p = .07), pivot shift test > 1 (p = .40), re-tears (p = .62), pain (p = .85) and the Tegner score (p = .95). However, the outcomes were somewhat better with the NDHT technique for the Lachman (RR = 0.30; 95% CI 0.08-1.12), pivot shift test (RR = 0.50; 95% CI 0.10-2.49) and re-tears (RR = 0.66; 95% CI 0.13-3.42). The other criteria were not included in the meta-analysis because of lack of data or because specific outcome scores were used in each article. CONCLUSION: NDHT techniques provide similar results to DHT for ACL reconstruction and tend to produce better stability and a lower re-tear rate.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Ligamento Cruzado Anterior / Lesiones del Ligamento Cruzado Anterior Tipo de estudio: Prognostic_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Francia

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Ligamento Cruzado Anterior / Lesiones del Ligamento Cruzado Anterior Tipo de estudio: Prognostic_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Francia