临床与病理杂志2017，Vol.37Issue(1)：97-104,8.DOI:10.3978/j.issn.2095-6959.2017.01.018
关节镜下LARS人工韧带与自体腘绳肌腱重建前交叉韧带临床疗效比较的meta分析
Comparison of clinical efficacy of anterior cruciate ligament reconstruction by arthroscopy between LARS artificial ligament and autologous hamstring tendon: a meta-analysis
摘要
Abstract
Objective:To systematically evaluate the efficacy and safety on control of pain and functional rehabilitation of knee of anterior cruciate ligament (ACL) reconstruction by arthroscopy between LARS artificial ligament and autologous hamstring tendon.Methods:We electronically searched PubMed,Cochrane Library,EMBASE,CBM,CNKI,VIP and Wanfang Data from inception to August 2016 and manually searched journal of library collection to identify prospective clinical comparative trials about comparison of clinical outcome of ACL reconstruction by arthroscopy between LARS artificial ligament and autologous hamstring tendon.The methodological quality of the included trials was assessed according to Ottawa Newcastle standard.Data were analyzed by RevMan 5.3 software.Results:Eight articles involving 371 patients of ACL were included.Statistical difference has been found in the Lysholm score of 6 months after surgery of ACL reconstruction by arthroscopy between LARS artificial ligament and autologous hamstring tendon (MD=12.46;95％ CI:12.46-15.74;P＜ 0.001).Statistical difference has been found in the Tegner score of 6 months after surgery of ACL reconstruction by arthroscopy between LARS artificial ligament and autologous hamstring tendon (MD=1.72,9S％ CI:1.45-1.99,P＜0.001).There were no statistical difference in the Lysholm score of 12 months after surgery of ACL reconstruction by arthroscopy between LARS artificial ligament and autologous hamstring tendon (MD=4.31,95％ CI:0.70-9.32,P=0.09).There were no statistical difference which has been found in the Tegner score of more than 12 months after surgery of ACL reconstruction by arthroscopy between LARS artificial ligament and autologous hamstring tendon (MD=0.52,95％ CI:0.21-1.24,P=0.16).Conclusion:The clinical outcome of ACL reconstruction by arthroscopy between LARS artificial ligament is better than by autologous hamstring tendon six months after surgery.And the clinical outcome is similar 12 months after surgery.关键词
前交叉韧带重建/LARS人工韧带/自体腘绳肌腱/meta分析Key words
ACL reconstruction/LARS artificial ligament/autologous hamstring tendon/meta-analysis引用本文复制引用
陈文祥,谢煜,赵建宁,包倪荣..关节镜下LARS人工韧带与自体腘绳肌腱重建前交叉韧带临床疗效比较的meta分析[J].临床与病理杂志,2017,37(1):97-104,8.基金项目
江苏省临床医学科技专项基金(BL2012002).This work was supported by Medical Scientific Research Foundation of Jiangsu province (BL2012002),P.R.China. （BL2012002）
