Outcome Differences of Remnant- Preserving versus Non-Preserving Methods in Arthroscopic Anterior Cruciate Ligament Reconstruction: A Meta-analysis with Subgroup analysis

Autor:	Jae-Hyung Kim, Gi-Won Seo, Byung-Il Lee, Sung Hun Won, Su Yeon Park, Hyung-Suk Choi, Kyung-Dae Min, Jun-Bum Kim, Yong-Beom Kim, Sai-Won Kwon
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment Dentistry Subgroup analysis Review Article Lachman test law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial lcsh:Orthopedic surgery law medicine Orthopedics and Sports Medicine Clinical significance 030222 orthopedics business.industry 030229 sport sciences Pivot-shift test Meta-analysis lcsh:RD701-811 medicine.anatomical_structure Remnant preservation Surgery Reconstruction business
Zdroj:	Knee Surgery & Related Research, Vol 32, Iss 1, Pp 1-13 (2020) Knee Surgery & Related Research
ISSN:	2234-2451
Popis:	Purpose To analyze differences in clinical outcomes of arthroscopic anterior cruciate ligament reconstruction between remnant-preserving and non-preserving methods. Methods International electronical databases PubMed, Embase, and the Cochrane central database from January 1966 to December 2017 were searched for randomized controlled trials (RCTs) and observational studies that compared differences of clinical outcomes of ACL reconstruction with and without remnant preservation. A meta-analysis of these studies was performed to compare clinical outcomes. Subgroup analyses were conducted to evaluate the role of methodological quality in primary meta-analysis estimates. Results Five RCTs and six observational studies were included in this meta-analysis and subgroup analysis. The remnant-preserving method in arthroscopic ACL reconstruction showed a statistically significant difference compared to the non-preserving method regarding arthrometric evaluation (side-to-side difference). Lachman test, Lysholm scores, and IKDC subjective scores showed statistically minor difference in meta-analysis, but showed no significant difference in subgroup analysis. Remained parameters including pivot shift test, IKDC grades, incidence of cyclops lesion showed no statistically differences in meta-analysis or subgroup analysis. Conclusions This meta-analysis with subgroup analysis showed that arthroscopic remnant-preserving ACL reconstruction provided statistically significant but limited clinical relevance in terms of arthrometric evaluation. Results of Lachman test, Lysholm scores, and IKDC subjective scores demonstrated statistically minor differences.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cad8fbb57397b14bdd8fd8ab54c30956 https://doaj.org/article/33fc2953c50146aba906c97074269801 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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