Preserving-remnantversusremoving-remnant for arthroscopic anterior cruciate ligament reconstruction:aMeta-analysis / 中国组织工程研究
Chinese Journal of Tissue Engineering Research
;
(53): 3032-3040, 2016.
Article
in Chinese
| WPRIM
| ID: wpr-489966
ABSTRACT
BACKGROUND:
There are controversies about preserving the remnant in the anterior cruciate ligament reconstruction procedure because of its uncertain therapeutic effects.OBJECTIVE:
Tocompare the efficacy and safety of preserving-remnant with removing-remnant for arthroscopic anterior cruciate ligament reconstruction using a meta-analysis.METHODS:
A computer-based online search was conducted in PubMed,Embase,the Cochrane Library, CDSR, CBM, and CNKI databases by using the English key wordsof “anterior cruciate ligamentAND remnant (OR stump)ANDrandomized controled trial (RCT)ORquasi-RCT” and the Chinese key words of“anterior cruciate ligament reconstruction, preserving-remnant, removing-remnant” to screen the relevant articles publishedfrom 1995 to July 2015. Meta-analysis was performed using Review Manager 5.3 software. RESULTS ANDCONCLUSION:
A total of 13 randomized controled trials were included. The meta-analysis resultsshowed that there were no statisticaly significant differences in KT1000/2000 scores (OR=-0.28, 95%CI-0.76-0.20,P=0.25), the good rate of synoveal coverage (OR=-0.30, 95%CI-0.30-0.90,P=0.32), and the incidence of cyclops leions (OR=0.87,95%CI 0.63-2.90,P=0.44). Postoperative Lysholm scores (OR=2.45, 95%CI 0.52-4.39,P=0.01), proprioceptive function (OR=-1.72, 95%CI-3.32 to 0.13,P=0.03), tunnel enlargement (OR=-0.66, 95%CI-1.08 to-0.23,P=0.002) in preserving-remnant were superior to removing-remnant for arthroscopic anterior cruciate ligament reconstruction. These results suggest that both preserving-remnantandremoving-remnant for arthroscopic anterior cruciate ligament reconstructioncanobtain satisfactory antero-posterior stability of the knee. Preserving-remnant exhibits superiority in post-operative scores of the knee, proprioceptive function, tunnel enlargement.Furtherhigh-quality randomized controled trials are warranted because of some low-quality studies and the existing biases.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Controlled clinical trial
Language:
Chinese
Journal:
Chinese Journal of Tissue Engineering Research
Year:
2016
Type:
Article
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