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Does surgical reconstruction produce better stability than conservative treatment in the isolated PCL injuries?

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The purpose of this study was to conduct a systematic review to address the stability outcome from reconstruction and conservative treatments.

Materials and methods

Inclusion criteria were as follows: (1) English language, (2) human subject, (3) measures of stability outcomes, and (4) patients with isolated PCL injuries. We did not limit the type of study design (interventional or non-interventional study) and included all published systematic reviews. The following data were extracted: the number of study populations, year of publication, baseline characteristics of patients, follow-up period, and outcome data. The primary outcome variable was side-to-side difference (STSD).

Results

In the conservative treatment, the average STSD ranged from 3.5 to 5.3 mm on Telos™ (range 0.7–12.0 mm) and from 3.0 to 5.2 mm on KT-1000™ (range 0.5–10 mm). Among reconstructive treatment, the average STSD ranged from 2.0 to 3.7 mm on Telos™ (range 0–7 mm) and 0.7–5.9 mm on KT-1000™ (range −1 to 11.8 mm). In the conservative treatment, the estimated weighted mean STSD difference was 3.49 [95 % confidence interval (CI): 0.95–6.03] on Telos™ and 2.64 (95 % CI 0.76–4.51) on KT-1000™. On the other hand, in the reconstructive treatment, the estimated mean STSD difference was 8.09 (95 % CI 7.11–9.07) on Telos™ and 8.45 (95 % CI 6.44–10.47) on KT-1000™.

Conclusions

This systematic review noted more satisfactory and consistent stability in the reconstructive treatment group. However, more complications and small differences of stability between groups should be also considered.

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Authors and Affiliations

  1. Division of Statistics, Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, South Korea

    Soyeon Ahn

  2. Department of Orthopedic Surgery, Seoul National University College of Medicine, Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam, Gyeonggi, 463-707, South Korea

    Yong Seuk Lee, Young Dong Song & Yun Seong Choi

  3. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Boramae Hospital, Seoul, South Korea

    Chong Bum Chang & Seung Baik Kang

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  1. Soyeon Ahn
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  2. Yong Seuk Lee
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Correspondence to Yong Seuk Lee.

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Ahn, S., Lee, Y.S., Song, Y.D. et al. Does surgical reconstruction produce better stability than conservative treatment in the isolated PCL injuries?. Arch Orthop Trauma Surg 136, 811–819 (2016). https://doi.org/10.1007/s00402-016-2454-4

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  • DOI: https://doi.org/10.1007/s00402-016-2454-4

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