Abstract:
PURPOSE:The aim of this meta-analysis was to compare the results of arthroscopic single-bundle and double-bundle anterior cruciate ligament (ACL) reconstruction. METHODS:We systematically searched electronic databases to identify randomised controlled trials (RCTs) in which arthroscopic single-bundle was compared with double-bundle for ACL reconstruction. The search strategy followed the requirements of the Cochrane Library Handbook. The outcomes of these studies were analysed in terms of graft failures, Lysholm score, negative pivot-shift test, KT1000 arthrometer measurements, knee extensor and flexor peak torques, knee extension and flexion deficit, and subjective and objective International Knee Documentation Committee (IKDC) final score. Methodological quality was assessed and data were extracted independently. Standard mean difference (SMD) or odds ratio (OR) with 95 % confidence interval (CI) was calculated by a fixed effects or random effects model. Heterogeneity across the studies was assessed with the I-square and chi-square statistic. Forest plots were also generated. RESULTS:We identified 17 RCTs comprising 1,381 patients who were treated by arthroscopic single-bundle versus double-bundle ACL reconstruction. The results of meta-analysis of these studies showed that arthroscopic double-bundle reconstruction was associated with a lower risk of graft failures (P=0.002) and a lower rate of positive pivot-shift test (P<0.0001). Compared with single-bundle reconstruction, double-bundle reconstruction had a lower KT1000 arthrometer measurement (P<0.00001), a lower knee extension deficit (P=0.006) and a higher subjective IKDC score (P=0.03). There was no statistically significant difference between single-bundle and double-bundle reconstruction in Lysholm score (P=0.91), knee extensor peak torques (P=0.97), knee flexor peak torques (P=0.96), knee flexion deficit (P=0.30) and objective IKDC score (P=0.18). CONCLUSIONS:Considering the more favourable outcomes of graft failures, knee joint stability and knee joint function in double-bundle reconstruction, we concluded that arthroscopic double-bundle reconstruction should be considered as the primary treatment in ACL reconstruction.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Li X,Xu CP,Song JQ,Jiang N,Yu Bdoi
10.1007/s00264-012-1651-1subject
Has Abstractpub_date
2013-02-01 00:00:00pages
213-26issue
2eissn
0341-2695issn
1432-5195journal_volume
37pub_type
杂志文章,meta分析,评审abstract::The concentrations of cobalt and chromium have been measured in the urine of 22 patients who had received uncemented hip prostheses made from cobalt, chromium and molybdenum alloy, and in 21 patients who had not received prostheses, using absorption spectrophotometry. The results were statistically analysed using the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00454409
更新日期:1986-01-01 00:00:00
abstract::Developmental dysplasia of the hip (DDH) is a spectrum of disorders that results in anatomic abnormalities leading to increased contact stress in the joint and, eventually, secondary osteoarthritis. However, many patients with DDH become symptomatic before the severe degenerative changes of the hip because of abnormal...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2927-z
更新日期:2016-05-01 00:00:00
abstract:PURPOSE:To determine the optimal position of reduction clamps applied to reduce transtectal transverse acetabular fractures approached through the anterior intrapelvic route. METHODS:Transtectal transverse fractures were created in sawbone hemipelvis models. Fractures were reduced and held with a large pointed reducti...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04430-x
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:To assess histological changes and possible differences in the quadriceps of patients undergoing open repair of the tendon after spontaneous rupture, and subjects with no history of tendon pathology. MATERIALS:Biopsies were harvested from the quadriceps tendon of 46 patients (34 men, 12 women) who had reported...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1637-z
更新日期:2012-11-01 00:00:00
abstract:PURPOSE:There remains controversy as to whether computer-navigated total knee replacement (TKR) improves the overall prosthesis alignment and patient function. The aim of this study was to determine whether computer-assisted total knee arthroplasty provides superior prosthesis positioning when compared to a conventiona...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-013-1996-0
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:Knee pain after total knee arthroplasty may be caused by an unresurfaced patella. Secondary isolated resurfacing of the previously unresurfaced patella in total knee arthroplasty remains controversial. The aim of this retrospective study was to evaluate the outcome after patellar resurfacing as a second stage p...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1463-8
更新日期:2012-06-01 00:00:00
abstract::One hundred and twenty-five cases of tuberculous osteomyelitis have been observed by the authors since 1968. The site of the lesion and the clinical and radiological findings have been analysed. The importance of accurate diagnosis by bacteriological and histological investigation is emphasized. Pitfalls in the differ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266209
更新日期:1986-01-01 00:00:00
abstract::At an average follow-up of 3.7 years we assessed the results of non-operative treatment of 84 symptomatic shoulders in 59 patients with a diagnosis of multidirectional shoulder instability. Sixty-two shoulders had received no previous surgical treatment (group A) while 22 had failed to respond to surgical treatment be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000202
更新日期:2001-01-01 00:00:00
abstract::One hundred fractures of the tibial shaft were treated by early weight-bearing in a below knee patellar tendon bearing plaster cast. The rate of union, and the range of knee and ankle motion were assessed. Ninety-five per cent had good or excellent results. This method of treatment is particularly valuable in the thir...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268506
更新日期:1989-01-01 00:00:00
abstract::A description is given of the vertical and horizontal components of the forces applied to the floor by the foot in walking. Information about the characteristics of the normal force pattern was obtained from the analysis of the gait of 214 normal subjects (108 young adults, 63 elderly people and 43 children). It is su...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266460
更新日期:1983-01-01 00:00:00
abstract:PURPOSE:Leg-length changes at total hip arthroplasty (THA) may result from too proximal position of the femoral component, i.e. not being sunk deep enough into the femoral canal due to the size and shape of both medullary canal and implant. Some femoral implants are designed to achieve such fixation in the mediolateral...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
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更新日期:2020-06-22 00:00:00
abstract:PURPOSE:Coracoclavicular joint (CCJ) is a rare anomalous joint occasionally found between the coracoid process of scapula and the conoid tubercle of clavicle. The articulation has been extensively studied by means of anatomical, osteological and radiological investigations. Most cases are discovered incidentally, with ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-011-1309-4
更新日期:2011-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04823-3
更新日期:2020-09-24 00:00:00
abstract:PURPOSE:Treatment of focal full-thickness chondral or osteochondral defects of the talus remains a challenge. The aim of this study was to evaluate the postoperative success and the long-term efficacy of matrix associated autologous chondrocyte implantation in these defects. METHODS:Matrix associated autologous chondr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1635-1
更新日期:2012-11-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s00264-020-04581-2
更新日期:2020-07-01 00:00:00
abstract::Human immunodeficiency virus (HIV) infection has radically changed African orthopaedic practice within a decade. In Lusaka, a third of adults are infected, but most have no physical signs of the disease. Early experience showed that closed fractures healed normally, the risk of sepsis during osteosynthesis was increas...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050074
更新日期:1996-01-01 00:00:00
abstract::Manipulation under anaesthesia (MUA) has been used to speed up recovery. However, the outcome of frozen shoulder after MUA in patients with diabetes has not been well documented in the past. A higher prevalence of frozen shoulder has been reported in diabetes mellitus (DM) patients. In this study, we revealed the shor...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-0968-x
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:To assess whether reaction time (RT) and movement time (MT), as the two components of the total brake response time (TBRT) and brake force (BF) are different in patients with a foot joint arthrodesis in comparison to controls. METHODS:The study was a comparative case series in a driving simulator under realist...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2789-4
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1351-2
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2100-5
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04870-w
更新日期:2021-02-01 00:00:00
abstract::Thirty-seven femoral shaft fractures occurred in 2360 cemented hip arthroplasties carried out between 1971 and 1989 at varying intervals after operation (average 3.7 years). Three types of fracture were recognised and treatment depended on the type, as did the prognosis. Good results were obtained in 70% of the cases....
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182995
更新日期:1992-01-01 00:00:00
abstract::An osteosarcoma developed in a boy, 16 years of age, 9 years after staples had been inserted in the region of the lower femoral epiphysis. The possible association between the implant and the tumour is discussed. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050090
更新日期:1996-01-01 00:00:00
abstract::We measured cytokine secretion patterns in peripheral blood and granulation tissue by flow cytometry in 16 human immunodeficiency virus (HIV) positive and 26 HIV negative patients with spinal tuberculosis. Anti-retroviral therapy was not prescribed. There were no significant differences in the postoperative morbidity ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000125
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:This study aims to evaluate (1) the probability to achieve normal pelvic radiographs in children with developmental dysplasia of the hip (DDH) treated by closed reduction and (2) the amount of time needed to achieve normal pelvic radiographs and to assess what factors influence both probability and time to achi...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-020-04479-z
更新日期:2020-03-01 00:00:00
abstract::The measure of radiographic pelvic and spinal parameters for sagittal balance analysis has gained importance in reconstructive surgery of the spine and particularly in degenerative spinal diseases (DSD). Fusion in the lumbar spine may result in loss of lumbar lordosis (LL), with possible compensatory mechanisms: decre...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2516-6
更新日期:2015-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2391-1
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:Treatment of open fractures is complex and controversial. The purpose of the present study is to add evidence to the management of open tibial fractures, where tissue loss necessitates cover with a free flap. We identified factors that increase the risk of complications. We questioned whether early flap coverag...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2712-z
更新日期:2015-06-01 00:00:00
abstract::Extraskeletal osteosarcoma is very rare and is difficult to diagnose histologically. We report a case of a 63 year old women who had such a tumour in her thigh. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182646
更新日期:1990-01-01 00:00:00