دورية أكاديمية
أعرض في EDS

Higher Rates of Residual Postoperative Instability after Anterior Cruciate Ligament Reconstruction in Female Patients: A Systematic Review of Level II Studies.

التفاصيل البيبلوغرافية
العنوان: Higher Rates of Residual Postoperative Instability after Anterior Cruciate Ligament Reconstruction in Female Patients: A Systematic Review of Level II Studies.
المؤلفون: Jackson GR; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois., Lee J; Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A., Tuthill T; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois., Chan J; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois., Sugrañes J; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.; Department of Orthopaedic Surgery, Hospital de La Santa Creu I Sant Pau, Universitat Autonoma de Barcelona, Barcelona, Spain., Mowers CC; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois., Batra A; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois., Khan ZA; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois., Mameri ES; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.; Instituto Brasil de Tecnologia da Saúde, Rio de Janeiro.; Department of Orthopedics and Traumatology, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil., Brusalis CM; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois., Chahla J; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois., Verma NN; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
المصدر: Arthroscopy, sports medicine, and rehabilitation [Arthrosc Sports Med Rehabil] 2023 Jul 29; Vol. 5 (5), pp. 100772. Date of Electronic Publication: 2023 Jul 29 (Print Publication: 2023).
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101765256 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-061X (Electronic) Linking ISSN: 2666061X NLM ISO Abbreviation: Arthrosc Sports Med Rehabil Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Elsevier Inc., [2019]-
مستخلص: Purpose: To compare revision rates and residual postoperative instability after anterior cruciate ligament (ACL) reconstruction based on biological sex.
Methods: A systematic review was conducted according to the 2020 PRISMA guidelines. PubMed, Embase, MEDLINE, and Cochrane library databases were queried from database inception through October 2022. Level I and II prospectively-enrolling human clinical studies that compared revision rates and physical examination of postoperative stability after ACL reconstruction between male and female patients were included. Outcomes were stratified by patient sex and quantitatively compared using a χ 2 test. Study quality was assessed using the MINORS criteria.
Results: Four studies consisting of 406 patients (50% males) with a mean age of 25 years (range, 13.9-62 years) were identified. Mean follow-up time was 34.4 months (range, 22-60 months). Hamstring tendon autografts were used in 62% of ACL reconstructions in males and in 65% of ACL reconstructions in females, whereas bone-patellar tendon-bone autografts were used in 38% and 35% of procedures in males and females, respectively. A residual positive Lachman test result was more frequently reported among females compared to males (5.8% vs 0.6%; P  = 0.03). No significant difference in revision rates or residual pivot-shift on examination was observed between males and females ( P  = 0.38 and P  = 0.08, respectively).
Conclusion: Female patients undergoing ACL reconstruction have higher reported rates of residual anterior instability with Lachman than male patients. However, no sex-based differences were identified with residual pivot-shift on examination or rate of revision ACL surgery.
Level of Evidence: II; Systematic Review of level II studies.
(© 2023 Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.)
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تواريخ الأحداث: Date Created: 20230810 Latest Revision: 20230811
رمز التحديث: 20230811
مُعرف محوري في PubMed: PMC10407150
DOI: 10.1016/j.asmr.2023.100772
PMID: 37560145
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-061X
DOI:10.1016/j.asmr.2023.100772