Knee function after anterior cruciate ligament reconstruction with patellar or hamstring tendon： a meta-analysis  

作　　者：SHI Dong-liang YAO Zhen-jun 

机构地区：[1]Department of Sports Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China

出　　处：《Chinese Medical Journal》2011年第23期4056-4062,共7页中华医学杂志（英文版）

基　　金：the National Natural Science Foundation of China，the Advanced Scientific Project of Sports Bureau of Shanghai，Shanghai Disabled Persons' Federation Research Fund

摘　　要：Background There is currently no consensus regarding the best graft type for anterior cruciate ligament reconstruction. Therefore, the aim of this study was to investigate the effects of patellar and hamstring tendon grafts on long-term knee function after anterior cruciate ligament reconstruction. Methods This meta-analysis was conducted according to the methodological guidelines outlined by the Cochrane Collaboration. An electronic search of the literature was performed and all trials published between January 1966 and August 2011 comparing knee function after anterior cruciate ligament reconstruction using patellar tendon grafts with knee function after reconstruction with hamstring tendon grafts were pooled. Six studies were included in the final meta-analysis. Results Anterior cruciate ligament reconstruction using hamstring tendon grafts resulted in greater pain upon kneeling than reconstruction using patellar tendon grafts （P=0.001）. However, both grafts resulted in similar levels of anterior tibial translation, and similar results regarding isokinetic extension/flexion tests, Lysholm scores, and the stair-hop test （P 〉0.05）. Conclusion Anterior cruciate ligament reconstruction using patellar or hamstring tendon grafts results in similar long-term knee function.Background There is currently no consensus regarding the best graft type for anterior cruciate ligament reconstruction. Therefore, the aim of this study was to investigate the effects of patellar and hamstring tendon grafts on long-term knee function after anterior cruciate ligament reconstruction. Methods This meta-analysis was conducted according to the methodological guidelines outlined by the Cochrane Collaboration. An electronic search of the literature was performed and all trials published between January 1966 and August 2011 comparing knee function after anterior cruciate ligament reconstruction using patellar tendon grafts with knee function after reconstruction with hamstring tendon grafts were pooled. Six studies were included in the final meta-analysis. Results Anterior cruciate ligament reconstruction using hamstring tendon grafts resulted in greater pain upon kneeling than reconstruction using patellar tendon grafts （P=0.001）. However, both grafts resulted in similar levels of anterior tibial translation, and similar results regarding isokinetic extension/flexion tests, Lysholm scores, and the stair-hop test （P 〉0.05）. Conclusion Anterior cruciate ligament reconstruction using patellar or hamstring tendon grafts results in similar long-term knee function.

关 键 词：anterior cruciate ligament reconstruction patellar tendon ＂ transplants ＂ biomechanics 

分 类 号：TQ936.1[化学工程] TS262.5[轻工技术与工程—发酵工程]