随访12年，前十字韧带重建的开放式手术和内镜手术疗效相似
Study: At 12 years, patients with open or endoscopic ACL reconstruction have similar outcomes.
Study data published in the November issue of the American Journal of Sports Medicine suggest that open reconstruction of the anterior cruciate ligament (ACL) may not increase risk of functional problems or osteoarthritis (OA), compared to endoscopic repair. The authors conducted a randomized, controlled trial of 67 patients with subacute or chronic rupture of the ACL. Patients were randomly assigned to open (n = 33) or endoscopic (n = 34) reconstruction. Of 53 patients evaluated at 12-year follow-up, no significant differences were found between the 2 surgical procedures with respect to pain, function, muscle strength, hop test, patellar height, or prevalence of OA. However, the authors noted a greater prevalence of OA in the tibiofemoral joint on the operated side compared to uninvolved knees.
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