Subjective assessment reported by patients shows differences between single-bundle and double-bundle anterior cruciate ligament reconstruction, systematic review and meta-analysis.
dc.contributor.author | Maestro, Antonio | |
dc.contributor.author | Herruzo Priego, Irene | |
dc.contributor.author | Varillas Delgado, David | |
dc.contributor.author | Martín Saborido, Carlos | |
dc.date.accessioned | 2021-08-24T11:21:27Z | |
dc.date.available | 2021-08-24T11:21:27Z | |
dc.date.issued | 2021 | |
dc.description.abstract | To determine the functional recovery, active reincorporation, and anteroposterior and rotational stability of patients undergoing anterior cruciate ligament (ACL) reconstruction using arthroscopy techniques with simple-bundle (SB) or double-bundle (DB). The following databases were searched: PubMed, Embase (Elsevier platform), the Cochrane Central Register of Controlled Trials (Wiley platform), Web of Science, and CINAHL. Level I and II studies involving anterior cruciate ligament arthroscopy were included in the search. Records were screened by title and abstract and assessed the risk of bias of selected studies. Meta-analyses using RevMan 5.3 software were conducted on the following outcomes: knee functionality, objective measurements of knee stability, rotational knee stability and knee anterior stability, sports reincorporation, and subjective assessments. Twenty-four studies of patients undergoing ACL reconstruction were included in the qualitative and quantitative synthesis (1707 patients) for Lysholm score, Subjective International Knee Documentation Committee (IKDC) score, Tegner score, KT-1000/2000, Lachman test, Objective IKDC score, and Pivot-Shift test. A return to pre-injury level showed a significant decrease in the Lysholm score (mean difference, − 0.99; 95% CI − 1.71 to − 0.40; P = 0.007) and Tegner score (mean difference, − 0.07; 95% CI, − 0.13 to − 0.01; P = 0.02) at DB reconstruction, similar to the knee functionality outcome of the subjective IKDC score (mean difference − 1.42; 95% CI − 2.46 to − 0.38; P = 0.007). There is no clear or significant difference in clinical stability and knee function or in sports incorporation with the true difference occurring in the subjective assessment. | spa |
dc.description.extent | 3808 KB | spa |
dc.identifier.doi | 10.1038/s41598-021-94868-0 | spa |
dc.identifier.issn | 2045-2322 | spa |
dc.identifier.uri | http://hdl.handle.net/10641/2395 | |
dc.language.iso | eng | spa |
dc.publisher | Scientific Reports | spa |
dc.relation.publisherversion | https://www.nature.com/articles/s41598-021-94868-0 | spa |
dc.rights | Atribución-NoComercial-SinDerivadas 3.0 España | * |
dc.rights.accessRights | open access | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.title | Subjective assessment reported by patients shows differences between single-bundle and double-bundle anterior cruciate ligament reconstruction, systematic review and meta-analysis. | spa |
dc.type | journal article | spa |
dc.type.hasVersion | AM | spa |
dspace.entity.type | Publication | |
relation.isAuthorOfPublication | 027915bc-0f59-485d-8b41-bfd34ba3fa94 | |
relation.isAuthorOfPublication | 1bde2976-5689-4b4e-b24a-ef0d66b7cf6b | |
relation.isAuthorOfPublication.latestForDiscovery | 027915bc-0f59-485d-8b41-bfd34ba3fa94 |
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