自体髌腱与四股腘绳肌腱移植重建前交叉韧带安全性的
Meta分析
蔡喜雨;张鑫鑫;刘永刚;李方国;裴国献
【期刊名称】《中华创伤骨科杂志》 【年(卷),期】2011(013)005
【摘要】Objective To compare clinical outcomes of patellar tendon and 4-strand
hamstring
autografts
in
single-bundle
endoscopic
reconstruction of anterior cruciate ligament(ACL). Methods The digital databases(PubMed,Embase,Cochrane Central Register of Controlled Trials,CBM)were
searched
for
randomized
controlled
trials
(RCTs)comparing patellar tendon with hamstring autografts for reconstruction of ACL.In addition.the reference lists from related original studies and review articles were hand-searched.The Cochrane Collaboration's tool for assessing risk of bias and Cochrane collaboration's RevMan 5.0 software were used for assessing trial methodological quality and data analyses. Results Fourteen RCTs were included.There were 1232 participants who met inclusion criteria in all studies.Meta-analyses showed that no statisticallv significant differences were found in graft failure rate after single-bundle reconstruction of the ACL at mean follow-ups of 2 to 3 years (RR=0.69,95%C/0.34 to 1.38,P=0.29,of 5 years (RR=0.37,95%CI 0.09 to 1.55,P=0.18),of 10 years(P=0.94)or when 3 subgroups combined(RR=0.71,95%CI 0.39 t0
自体髌腱与四股腘绳肌腱移植重建前交叉韧带安全性的Meta分析
