Efficacy of Repair for ACL Injury: A Meta ‑analysis of Randomized Controlled Trials
Int J Sports Med DOI: 10.1055/a-1755-4925We aim to compare the curative effect of primary repair for anterior cruciate
ligament (ACL) injury with reconstruction and provide the reliable evidence for
its clinical application. The literatures were searched in PubMed, EMBASE,
Springer, and other medical literature databases published between January 1970
and June 2021. Basic characteristics, surgery technique, clinical outcome scores
and physical examination results were recorded and evaluated. Seven randomized
controlled trials (RCT) were eligible for inclusion. The results showed that
there were no statistically significant differences between arthroscopic ACL
repair and ACL reconstruction for Tegner, Lysholm, Lachman, KT-1000, range of
motion (ROM), functional outcomes and reoperation rate (P>0.05), even
the result of IKDC scores showed that arthroscopic repair was better than
reconstruction (P=0.04). However, through the subgroup analysis, it was
found that the short-term follow-up results of arthroscopic ACL repair were
indeed better than those of open ACL repair. Therefore, we can assume that the
arthroscopic ACL repair technique is an optional and promising surgical method
to treat ACL injury. [...] Georg Thieme Verlag Rüdigerstraße 14, 70469 Stuttgart,
GermanyArticle in Thieme eJournals: Table of contents ...
Source: International Journal of Sports Medicine - Category: Sports Medicine Authors: Li, Zhuoyang Tags: Review Source Type: research
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