|Clinical characteristics of 4355 patients with anterior cruciate ligament injury|
|Mei Yu; Ao Ying-fang; Wang Jian-quan; Ma Yong; Zhang Xin; Wang Jia-ning; Zhu Jing-xian|
|关键词||Anterior Cruciate Ligament Clinical Characteristics Incidence Secondary Injuries|
|刊名||CHINESE MEDICAL JOURNAL|
|WOS标题词||Science & Technology|
|类目[WOS]||Medicine, General & Internal|
|研究领域[WOS]||General & Internal Medicine|
|关键词[WOS]||DEFICIENT KNEE ; MENISCAL TEARS ; RECONSTRUCTION ; LESIONS|
Background Clinical features of anterior cruciate ligament (ACL) injury are important for its prevention, diagnosis and treatment. However, few studies have reported such data, especially in China. The purpose of this study was to describe the clinical characteristics of ACL injury on a large cohort.
Methods Between 1993 and 2007, a total of 4355 ACL deficient inpatients (612 athletes and 3743 non-athletes) were registered. Data were collected using a special database system. And the distributions of characteristics in different groups were compared and analyzed statistically.
Results All subjects were confirmed with ACL tear during surgery. Statistical analysis revealed that the percentage of females in Athlete Group was significantly higher than that in Non-athlete Group (56.05% vs. 24.95%, P<0.001). This study also found that sports trauma was the main cause of ACL tears. Soccer, basketball, judo, wrestling and track and field were the five most responsible activities for athletes. The average injury time for athletes was significantly shorter than that for non-athletes (413.3 days vs. 717.5 days, P<0.001). Three thousand nine hundred and eight cases were ordered ACL reconstruction (76.04% single-bundle, 18.30% double-bundle). Three hundred and forty-five patients (7.92%) were combined with other ligaments injuries, 2667 (61.24%) were found with various grades of cartilage lesions, and 3377 (77.54%) were found with meniscal injury.
Conclusions Sports trauma was the main cause of ACL tears in China, and reconstruction had become the principal surgical choice. In order to restore knee joint stability and reduce the incidence of cartilage and meniscal injury, patient-tailored ACL reconstruction should be suggested at the right moment.
|作者单位||Peking Univ Third Hosp, Inst Sports Med, Beijing 100191, Peoples R China|
|Mei Yu,Ao Ying-fang,Wang Jian-quan,et al. Clinical characteristics of 4355 patients with anterior cruciate ligament injury[J]. CHINESE MEDICAL JOURNAL,2013,126(23):4487-4492.|
|APA||Mei Yu.,Ao Ying-fang.,Wang Jian-quan.,Ma Yong.,Zhang Xin.,...&Zhu Jing-xian.(2013).Clinical characteristics of 4355 patients with anterior cruciate ligament injury.CHINESE MEDICAL JOURNAL,126(23),4487-4492.|
|MLA||Mei Yu,et al."Clinical characteristics of 4355 patients with anterior cruciate ligament injury".CHINESE MEDICAL JOURNAL 126.23(2013):4487-4492.|