Is augmentation the best solution in partial anterior cruciate ligament tears? A literature systematic review and meta-analysis.
ACL augmentation
ACL reconstruction
Arthroscopy
Knee
Partial ACL tear
Journal
Journal of orthopaedics
ISSN: 0972-978X
Titre abrégé: J Orthop
Pays: India
ID NLM: 101233220
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
24
11
2022
accepted:
30
11
2022
pmc-release:
01
02
2024
entrez:
29
12
2022
pubmed:
30
12
2022
medline:
30
12
2022
Statut:
epublish
Résumé
The appropriate management of partial anterior cruciate ligament (ACL) tears is still debated. There is a tendency in orthopedic clinical practice to prefer complete ACL reconstruction, while few surgeons perform ACL augmentation. The purpose of the present study is to evaluate the current evidence on the effectiveness of ACL augmentation compared with standard ACL reconstruction to assess whether ACL augmentation may be the treatment of choice in partial ACL injury. According to PRISMA guidelines, literature research was performed in PubMed/Medline, Cochrane Library, Embase, Scopus, and Web of Science databases. A PICOS model was used, and a preliminary search resulted in 1101 articles. The methodological quality was assessed through ROBINS-I. A meta-analysis was conducted on postoperative Tegner, Lysholm scores and KT-1000 values between ACL augmentation and ACL reconstruction, and a p < 0.05 has been assumed as statistically significant. PROSPERO, ID: CRD42022343502. Seven papers were included. A total of 472 knees underwent ACL reconstruction, and 311 underwent ACL augmentation. A statistically significant discrepancy was found in the postoperative Tegner score in favor of ACL augmentation compared with ACL reconstruction (p < 0.05). Regarding the postoperative Lysholm score and KT-1000 measurement, no statistically significant difference was shown between ACL reconstruction and ACL augmentation (p > 0.05). ACL augmentation has proved to be an effective and safe procedure and should be preferred to ACL reconstruction in partial ACL tears for the tendency to achieve better functional outcomes.
Identifiants
pubmed: 36578974
doi: 10.1016/j.jor.2022.11.018
pii: S0972-978X(22)00287-2
pmc: PMC9791693
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
11-17Informations de copyright
© 2022 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest.
Références
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2021 May 26;25:22-29
pubmed: 34141592
J Bone Joint Surg Br. 1989 Nov;71(5):825-33
pubmed: 2584255
Am J Sports Med. 2009 Aug;37(8):1618-26
pubmed: 19439759
Front Surg. 2022 Sep 01;9:952930
pubmed: 36117844
Eur J Orthop Surg Traumatol. 2022 Oct 29;:
pubmed: 36308547
J Am Acad Orthop Surg. 2021 Jan 15;29(2):60-70
pubmed: 33394613
Arthroscopy. 2012 Dec;28(12):1833-41
pubmed: 22981802
Plast Reconstr Surg. 2011 Jul;128(1):305-310
pubmed: 21701348
Arthroscopy. 2022 Jun;38(6):2073-2089
pubmed: 34990759
Knee. 2017 Oct;24(5):1039-1046
pubmed: 28789873
Orthop J Sports Med. 2017 Jan 25;5(1):2325967116681724
pubmed: 28210653
N Am J Sports Phys Ther. 2010 Dec;5(4):234-51
pubmed: 21655382
Knee Surg Relat Res. 2020 Aug 31;32(1):45
pubmed: 32867827
Acta Orthop Scand. 2002 Jun;73(3):330-4
pubmed: 12143983
Curr Rev Musculoskelet Med. 2022 Oct;15(5):394-401
pubmed: 35852699
J Orthop. 2022 Jul 31;33:124-130
pubmed: 35983549
Am J Sports Med. 2020 Dec;48(14):3626-3637
pubmed: 32101692
Bone Joint J. 2014 Oct;96-B(10):1325-32
pubmed: 25274916
PLoS Med. 2009 Jul 21;6(7):e1000100
pubmed: 19621070
Physiotherapy. 2014 Sep;100(3):187-95
pubmed: 24690442
Arthroscopy. 2009 Nov;25(11):1265-74
pubmed: 19896049
J Orthop Traumatol. 2020 Mar 28;21(1):5
pubmed: 32222861
Orthop J Sports Med. 2021 Mar 29;9(3):2325967121992472
pubmed: 33855093
J Orthop. 2022 Jul 02;33:37-43
pubmed: 35812351
World J Orthop. 2016 Feb 18;7(2):82-93
pubmed: 26925379
J Clin Epidemiol. 2018 Aug;100:103-110
pubmed: 29339215
BMJ. 2016 Oct 12;355:i4919
pubmed: 27733354
Arch Orthop Trauma Surg. 2022 Jun;142(6):1155-1165
pubmed: 34338886
Arthroscopy. 2009 Jun;25(6):653-85
pubmed: 19501297
Arthroscopy. 2008 Nov;24(11):1289-98
pubmed: 18971061
J Clin Epidemiol. 2001 Oct;54(10):1046-55
pubmed: 11576817
Knee Surg Sports Traumatol Arthrosc. 2001 Nov;9(6):364-8
pubmed: 11734875
Arthroscopy. 2010 Jul;26(7):997-1004
pubmed: 20620801
Knee Surg Sports Traumatol Arthrosc. 2017 Apr;25(4):1279-1289
pubmed: 26162801
Orthop J Sports Med. 2017 Jun 22;5(6):2325967117709966
pubmed: 28680889
BMJ Open. 2020 Mar 16;10(3):e032497
pubmed: 32184303
Injury. 2022 Oct;53(10):3094-3101
pubmed: 35945090
Arthroscopy. 2019 Jul;35(7):2114-2122
pubmed: 31167738