Anterior cruciate ligament(ACL)injury is a traumatic event that can lead to significant functional impairment and inability to participate in high-level sports-related activities.ACL reconstruction is considered the t...Anterior cruciate ligament(ACL)injury is a traumatic event that can lead to significant functional impairment and inability to participate in high-level sports-related activities.ACL reconstruction is considered the treatment of choice for symptomatic ACL-deficient patients and can assist in full functional recovery.Furthermore,ACL reconstruction restores ligamentous stability to normal,and,therefore,can potentially fully reinstate kinematics of the knee joint.As a consequence,the natural history of ACL injury could be potentially reversed via ACL reconstruction.Evidence from the literature is controversial regarding the effectiveness of ACL reconstruction in preventing the development of knee cartilage degeneration.This editorial aims to present recent highlevel evidence in an attempt to answer whether ACL injury inevitably leads to osteoarthritis and whether ACL reconstruction can prevent this development or not.展开更多
目的本研究目的在于评估Ortho One PROMT评分在预测半月板撕裂可修复性方面的准确性,检验其是否具备解决术前半月板手术方式预测困难的能力。方法纳入本院2019年3月至2019年12月因半月板损伤而接受关节镜下手术者55膝58侧半月板。本研...目的本研究目的在于评估Ortho One PROMT评分在预测半月板撕裂可修复性方面的准确性,检验其是否具备解决术前半月板手术方式预测困难的能力。方法纳入本院2019年3月至2019年12月因半月板损伤而接受关节镜下手术者55膝58侧半月板。本研究分为两个部分。第一部分:评分过程由两位医生按Ortho One PROMT评分细则分别对半月板损伤者进行独立评分,并根据得分预测半月板手术术式。第二部分:将两位评分医生预测的半月板手术术式分别与手术医生的实际手术术式进行一致性比较,最终评价Ortho One PROMT评分在预测半月板撕裂可修复性方面的准确性、敏感度及特异度。结果评分医生预测半月板修复的平均正确率为86.9%,平均敏感度为86.9%,平均特异度为87.5%,平均阳性预测值92.9%,平均阴性预测值为77.9%;预测半月板切除的平均正确率为87.5%,平均敏感度为87.5%,平均特异度为86.9%,平均阳性预测值为77.9%,平均阴性预测值为92.9%。两位评分医生的预测结果与手术医生的实际术式高度一致(k=0.78,k=0.67)。结论Ortho One PROMT评分预测半月板撕裂可修复性不仅简便、可操作性强,而且具有良好的准确性、敏感度和特异度,能够有效解决当前术前半月板手术方式预测困难的问题,具有一定的临床应用推广价值。展开更多
文摘Anterior cruciate ligament(ACL)injury is a traumatic event that can lead to significant functional impairment and inability to participate in high-level sports-related activities.ACL reconstruction is considered the treatment of choice for symptomatic ACL-deficient patients and can assist in full functional recovery.Furthermore,ACL reconstruction restores ligamentous stability to normal,and,therefore,can potentially fully reinstate kinematics of the knee joint.As a consequence,the natural history of ACL injury could be potentially reversed via ACL reconstruction.Evidence from the literature is controversial regarding the effectiveness of ACL reconstruction in preventing the development of knee cartilage degeneration.This editorial aims to present recent highlevel evidence in an attempt to answer whether ACL injury inevitably leads to osteoarthritis and whether ACL reconstruction can prevent this development or not.
文摘目的本研究目的在于评估Ortho One PROMT评分在预测半月板撕裂可修复性方面的准确性,检验其是否具备解决术前半月板手术方式预测困难的能力。方法纳入本院2019年3月至2019年12月因半月板损伤而接受关节镜下手术者55膝58侧半月板。本研究分为两个部分。第一部分:评分过程由两位医生按Ortho One PROMT评分细则分别对半月板损伤者进行独立评分,并根据得分预测半月板手术术式。第二部分:将两位评分医生预测的半月板手术术式分别与手术医生的实际手术术式进行一致性比较,最终评价Ortho One PROMT评分在预测半月板撕裂可修复性方面的准确性、敏感度及特异度。结果评分医生预测半月板修复的平均正确率为86.9%,平均敏感度为86.9%,平均特异度为87.5%,平均阳性预测值92.9%,平均阴性预测值为77.9%;预测半月板切除的平均正确率为87.5%,平均敏感度为87.5%,平均特异度为86.9%,平均阳性预测值为77.9%,平均阴性预测值为92.9%。两位评分医生的预测结果与手术医生的实际术式高度一致(k=0.78,k=0.67)。结论Ortho One PROMT评分预测半月板撕裂可修复性不仅简便、可操作性强,而且具有良好的准确性、敏感度和特异度,能够有效解决当前术前半月板手术方式预测困难的问题,具有一定的临床应用推广价值。
