Subjective assessment reported by patients shows differences between single-bundle and double-bundle anterior cruciate ligament reconstruction, systematic review and meta-analysis
| العنوان: | Subjective assessment reported by patients shows differences between single-bundle and double-bundle anterior cruciate ligament reconstruction, systematic review and meta-analysis |
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| المؤلفون: | Irene Herruzo, David Varillas-Delgado, Carlos Martín-Saborido, Antonio Maestro |
| المصدر: | Scientific Reports RUO. Repositorio Institucional de la Universidad de Oviedo instname Scientific Reports, Vol 11, Iss 1, Pp 1-15 (2021) DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria Universitat Autònoma de Barcelona |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Joint Instability, medicine.medical_specialty, Knee Joint, Anterior cruciate ligament reconstruction, Physiology, Science, Anterior cruciate ligament, medicine.medical_treatment, Knee Injuries, Lachman test, Article, Arthroscopy, 03 medical and health sciences, 0302 clinical medicine, Double bundle, Humans, Medicine, Anterior Cruciate Ligament, 030222 orthopedics, Multidisciplinary, Anterior Cruciate Ligament Reconstruction, medicine.diagnostic_test, business.industry, Anterior Cruciate Ligament Injuries, Significant difference, Recovery of Function, 030229 sport sciences, Functional recovery, medicine.anatomical_structure, Meta-analysis, Physical therapy, Anatomy, business, human activities |
| الوصف: | To determine the functional recovery, active reincorporation, and anteroposterior and rotational stability of patients undergoing anterior cruciate ligament (ACL) reconstruction using arthroscopy techniques with simple-bundle (SB) or double-bundle (DB). The following databases were searched: PubMed, Embase (Elsevier platform), the Cochrane Central Register of Controlled Trials (Wiley platform), Web of Science, and CINAHL. Level I and II studies involving anterior cruciate ligament arthroscopy were included in the search. Records were screened by title and abstract and assessed the risk of bias of selected studies. Meta-analyses using RevMan 5.3 software were conducted on the following outcomes: knee functionality, objective measurements of knee stability, rotational knee stability and knee anterior stability, sports reincorporation, and subjective assessments. Twenty-four studies of patients undergoing ACL reconstruction were included in the qualitative and quantitative synthesis (1707 patients) for Lysholm score, Subjective International Knee Documentation Committee (IKDC) score, Tegner score, KT-1000/2000, Lachman test, Objective IKDC score, and Pivot-Shift test. A return to pre-injury level showed a significant decrease in the Lysholm score (mean difference, − 0.99; 95% CI − 1.71 to − 0.40; P = 0.007) and Tegner score (mean difference, − 0.07; 95% CI, − 0.13 to − 0.01; P = 0.02) at DB reconstruction, similar to the knee functionality outcome of the subjective IKDC score (mean difference − 1.42; 95% CI − 2.46 to − 0.38; P = 0.007). There is no clear or significant difference in clinical stability and knee function or in sports incorporation with the true difference occurring in the subjective assessment. |
| تدمد: | 2045-2322 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7de593f0663cb472e3b1853aa22e7d21Test https://doi.org/10.1038/s41598-021-94868-0Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7de593f0663cb472e3b1853aa22e7d21 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20452322 |
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