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Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis.

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  • معلومة اضافية
    • Abstract:
      Purpose. This is a systematic review and meta-analysis of current evidence that aims at comparing the clinical outcomes of remnant-preserving anterior cruciate ligament reconstruction (ACLR) and standard ACLR. Methods. A systematic review of randomized controlled studies and cohort studies comparing remnant-preserving ACLR with standard ACLR with a minimum level of evidence of II was performed. Studies were included by strict inclusion and exclusion criteria. Extracted data were summarized as preoperative conditions, postoperative clinical outcomes, and postoperative complications. When feasible, meta-analysis was performed with RevMan5.3 software. Study methodological quality was evaluated with the modified Coleman methodology score (CMS). Results. Eleven studies (n = 466 remnant-preserving and n = 536 standard) met the inclusion criteria. The mean modified CMS for all included studies was 85.8 (range: 77–92 on a 100-point scale). In total, 466 patients underwent remnant-preserving ACLR by 3 different procedures: standard ACLR plus tibial remnant tensioning (n = 283), selective-bundle augmentation (n = 49), and standard ACLR plus tibial remnant sparing (n = 134). Remnant-preserving ACLR provided a superior outcome of postoperative knee anterior stability (WMD = −0.42, 95% CI, −0.66, −0.17; P<0.01) and Lysholm score (WMD = 2.01, 95% CI, 0.53 to 3.50; P<0.01). There was no significant difference between the two groups with respect to second-look arthroscopy (OR = 1.38, 95% CI, 0.53, 3.62; P=0.51), complications (OR = 1.24 95% CI, 0.76, 2.02; P=0.39), International Knee Documentation Committee (IKDC) subject scores, IKDC grades, Lachman test, and pivot-shift test. Summary/conclusion. Remnant-preserving ACLR promotes similar graft synovial coverage and revascularization to standard ACLR. Equivalent or superior postoperative knee stability and clinical scores were observed for remnant-preserving ACLR compared with standard ACLR. No significant difference in the total complication rate between the groups was evident. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Joint Surgery, First Affiliated Hospital of Chongqing Medical University, Chongqing, China
      2Institute of Sports Medicine Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, Beijing, China
      3Department of Joint Surgery, First Affiliated Hospital of Zunyi Medical University, Zunyi, China
      4First College of Clinical Medicine, Chongqing Medical University, Chongqing, China
    • Full Text Word Count:
      8416
    • ISSN:
      2314-6133
    • Accession Number:
      10.1155/2019/2864384
    • Accession Number:
      140285123
  • Citations
    • ABNT:
      WANG, H. et al. Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis. BioMed Research International, [s. l.], p. 1–15, 2019. DOI 10.1155/2019/2864384. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=140285123&custid=s8280428. Acesso em: 28 out. 2020.
    • AMA:
      Wang H, Liu Z, Li Y, et al. Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis. BioMed Research International. December 2019:1-15. doi:10.1155/2019/2864384
    • APA:
      Wang, H., Liu, Z., Li, Y., Peng, Y., Xu, W., Hu, N., & Huang, W. (2019). Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis. BioMed Research International, 1–15. https://doi.org/10.1155/2019/2864384
    • Chicago/Turabian: Author-Date:
      Wang, Han, Ziming Liu, Yuwan Li, Yihang Peng, Wei Xu, Ning Hu, and Wei Huang. 2019. “Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis.” BioMed Research International, December, 1–15. doi:10.1155/2019/2864384.
    • Harvard:
      Wang, H. et al. (2019) ‘Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis’, BioMed Research International, pp. 1–15. doi: 10.1155/2019/2864384.
    • Harvard: Australian:
      Wang, H, Liu, Z, Li, Y, Peng, Y, Xu, W, Hu, N & Huang, W 2019, ‘Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis’, BioMed Research International, pp. 1–15, viewed 28 October 2020, .
    • MLA:
      Wang, Han, et al. “Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis.” BioMed Research International, Dec. 2019, pp. 1–15. EBSCOhost, doi:10.1155/2019/2864384.
    • Chicago/Turabian: Humanities:
      Wang, Han, Ziming Liu, Yuwan Li, Yihang Peng, Wei Xu, Ning Hu, and Wei Huang. “Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis.” BioMed Research International, December 11, 2019, 1–15. doi:10.1155/2019/2864384.
    • Vancouver/ICMJE:
      Wang H, Liu Z, Li Y, Peng Y, Xu W, Hu N, et al. Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis. BioMed Research International [Internet]. 2019 Dec 11 [cited 2020 Oct 28];1–15. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=140285123&custid=s8280428