Insufficient Evidence for Anterior Cruciate Ligament Reconstruction Utilizing Suture Tape Augmentation: A Systematic Review of Clinical Outcomes at Minimum 1-Year Follow-Up.

Autor:	Dhillon J; Rocky Vista University College of Osteopathic Medicine, Parker, Colorado, U.S.A., Tanguilig G; Tulane University School of Medicine, New Orleans, Louisiana, U.S.A., Keeter C; Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, U.S.A., Borque KA; Department of Orthopedics & Sports Medicine, Houston Methodist Hospital, Houston, Texas, U.S.A., Heard WM; Tulane University School of Medicine, New Orleans, Louisiana, U.S.A., Kraeutler MJ; Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, U.S.A.. Electronic address: matthewkraeutlermd@gmail.com.
Jazyk:	angličtina
Zdroj:	Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2024 Sep; Vol. 40 (9), pp. 2494-2503. Date of Electronic Publication: 2024 Feb 02.
DOI:	10.1016/j.arthro.2024.01.026
Abstrakt:	Purpose: To perform a systematic review of clinical studies to directly compare clinical outcomes of patients undergoing anterior cruciate ligament reconstruction (ACLR) with versus without suture tape (ST) augmentation. Methods: A systematic review was performed by searching PubMed, the Cochrane Library, and Embase to identify comparative studies directly comparing outcomes of ACLR with versus without ST augmentation with a minimum follow-up of 12 months. The search terms used were anterior cruciate ligament suture tape. Patients were evaluated based on graft failure rates, return to sport (RTS), anteroposterior (AP) laxity, and patient-reported outcomes (PROs). Results: Five studies (all Level III) met inclusion criteria, including a total of 246 patients undergoing ACLR with ST augmentation (SA group) and 282 patients undergoing ACLR without augmentation (control group). Patient age ranged from 14.9 to 29.7 years. The mean follow-up time ranged from 24.0 to 48.6 months. The mean body mass index ranged from 25.3 to 26.3 kg/m 2 and the overall percentage of males ranged from 43.4% to 69.0%. Overall, the graft failure rate ranged from 1.0% to 25.0% in the SA group and 8.0% to 20.0% in the control group. Among the studies that reported RTS rates, the rate ranged from 69.2% to 88.9% in the SA group and 51.5% to 87.5% in the control group. Among all PROs, 2 studies found a significant difference in the Tegner score favoring the SA group. Otherwise, no significant differences were found between groups in terms of PROs. No significant differences in AP laxity were found between groups within any particular study. There was heterogeneity between studies regarding surgical techniques, postoperative rehabilitation protocols, and reported PROs. Conclusions: There is insufficient evidence to suggest that patients undergoing ACLR with ST augmentation may experience favorable clinical outcomes compared with ACLR alone. Level of Evidence: Level III, systematic review of Level III studies. Competing Interests: Disclosures The authors report the following potential conflicts of interest or sources of funding: K.A.B. is a paid consultant or employee for Mitek and has received research or institutional support from CONMED Linvatec and Xiros. W.M.H. reports board membership with the Arthroscopy Association of North America, is a paid consultant for Smith & Nephew, and has provided paid presentations for Vericel. All other authors declare (J.D., G.T., C.K., M.J.K.) that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Full ICMJE author disclosure forms are available for this article online, as supplementary material. (Copyright © 2024 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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