Κατεύθυνση Εφαρμοσμένη Εμβιομηχανική και Βιοϋλικά στην Ορθοπαιδική
Library of the School of Health Sciences

2024-04-29

2024

Skotidis Emmanouil

Κωνσταντίνος Θ. Κατέρος, Διευθυντής, Α΄ Ορθοπεδική Κλινική, Γ.Ν.Α. «Γ.Γεννηματάς», Επιβλέπων
Παναγιώτης Ι. Παπαγγελόπουλος, Καθηγητής Ιατρική Σχολή, ΕΚΠΑ
Δημήτριος-Στέργιος Ευαγγελόπουλος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ

Βιβλιογραφική ανασκόπηση για την αποκατάσταση του πρόσθιου χιαστού συνδέσμου με την τεχνική internal brace

English

Systematic review for anterior cruciate ligament reconstruction using internal brace

Introduction
Injuries to the anterior cruciate ligament (ACL) are common in the young population and often require surgical intervention. The classic technique for ACL reconstruction has limitations, such as graft failure and post-traumatic osteoarthritis. This has led to interest in new approaches, including ACL repair with internal bracing, to reduce re-rupture rates.
Materials and Methods
A literature review was conducted following PRISMA guidelines to evaluate studies on ACL reconstruction with internal bracing from 2000 to 2023. Each selected article was analyzed for study characteristics, patient data, surgical details, and results analysis.
Results
Our analysis included 9 studies, representing 837 knees in 447 patients who underwent ACL reconstruction with internal bracing. Clinically, significant improvement was observed in Lysholm, IKDC, and KOOS scores after an average follow-up of 24 months. Clinical examination of 220 patients showed significant restoration of knee joint stability. A significant proportion of patients returned to their pre-injury level of activity after at least 2 years of follow-up.
Additionally, patients treated with the internal bracing technique showed improved clinical outcomes, including daily activities and faster return to sports compared to the classic technique for ACL reconstruction. Results from questionnaires, diagnostic tests for graft laxity, and ACL re-rupture rates demonstrated statistically significant differences in favor of internal bracing for ACL reconstruction.
Conclusion
ACL reconstruction with internal bracing appears to be a promising alternative technique, offering potential benefits in improving outcomes and reducing re-rupture rates. However, further research is needed on long-term radiological outcomes, including MRI assessment of graft and adjacent bone tissue reactions, as well as potential degenerative changes and cartilage damage on knee joint surfaces comparing preoperative and postoperative MRI.
Additionally, the advantages of this technique should be evaluated through larger, longer-term studies

Health Sciences

ACL internal brace, ACL reconstruction

No

0

Yes

74

43

File access is restricted until 2024-11-01.

https://pergamos.lib.uoa.gr/uoa/dl/object/3397549