CONTRALATERAL PATELLAR TENDON AUTOGRAFT IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

ABSTRACT Objective: To conduct a systematic review of literature about the use of contralateral patellar tendon autograft in anterior cruciate ligament reconstructions and present the results. Methods: The LILACS, MEDLINE, Cochrane, PubMed, Scielo and Google Scholar databases were searched without date restrictions for the keywords “anterior cruciate ligament reconstruction” combined with “contralateral” in the article title. After the studies were identified, two independent evaluators collected the qualitative characteristics of the studies and classified them according to clinical outcomes of these grafts as positive, neutral, or negative. Results: A total of 755 articles were found initially, and after detailed evaluation of all references, followed by a screening process and assessment of quality, a total of 11 studies were determined to be eligible for inclusion in this systematic review. Of these, 72.72% were level II studies, the most common level of evidence among the results. Positive results for this type of graft were found in 63.63% of the studies. Conclusion: Based on the literature review, most of the included articles (63.63%) presented positive results for the use of contralateral patellar tendon grafts. Level of Evidence III; Systematic review.

ABSTRACT 研究目的：针对前交叉韧带重建术（anterior cruciate ligament reconstruction）中应用对侧髌腱自体移植物（contralateral patellar tendon autograft）的相关文献开展系统综述，并呈现研究结果。研究方法：本研究检索了LILACS、MEDLINE、Cochrane、PubMed、SciELO及Google Scholar数据库，未设置检索时间限制，检索时以"前交叉韧带重建术"与"对侧"为关键词，限定检索范围为文章标题。筛选得到相关研究后，由两名独立评估者提取研究的定性特征，并依据此类移植物的临床结局将研究划分为阳性、中性及阴性三类。研究结果：初始检索共获得755篇文献，经对所有参考文献进行详细评估、筛选及质量评价后，最终确定11项研究符合本次系统综述的纳入标准。其中72.72%为II级证据研究，是本次结果中占比最高的证据等级。63.63%的研究显示此类移植物的应用呈现阳性结局。研究结论：基于本次文献综述结果，绝大多数纳入研究（63.63%）表明对侧髌腱自体移植物的应用效果呈阳性。证据等级：III级；系统综述。