Knee Surg Relat Res.
2018 Jun;30(2):95-106. 10.5792/ksrr.17.065.
A Comparison of Results after Anterior Cruciate Ligament Reconstruction in over 40 and under 40 Years of Age: A Meta-Analysis
- Affiliations
-
- 1Department of Orthopaedic Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea. hscspine@hanmail.net
- 2Institute for Evidence-based Medicine, Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
- 3Department of Pathology, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Changwon, Korea.
- 4Department of Orthopaedic Surgery, Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Changwon, Korea.
- KMID: 2413627
- DOI: http://doi.org/10.5792/ksrr.17.065
Abstract
- PURPOSE
Anterior cruciate ligament (ACL) injury is one of the most common injuries that occur in the knee, and ACL reconstruction (ACLR) is commonly performed for preventing aggravation of degenerative changes and restoring of knee stability in young, athletic patients. This metaanalysis has a purpose of evaluating the clinical and arthrometrical outcomes of ACLR in a group of middle age patients (40 years and older) and comparing with patients under 40 years of age.
METHODS
MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, Web of Science, and SCOPUS electronic databases were searched for relevant articles comparing the outcomes of ACLR between younger and older than 40 years of age until December 2016. Data searching, extraction, analysis, and quality assessment were performed based on the Cochrane Collaboration guidelines. Clinical outcomes were evaluated and compared between groups. The results were presented as mean difference for continuous outcomes with 95% confidence intervals whereas risk ratio for binary outcomes.
RESULTS
Seven studies were included in the meta-analysis. Based on International Knee Documentation Committee classification, side-to-side difference, Tegner activity score, Lysholm knee score, there were no significant clinical and mechanical differences between the groups.
CONCLUSIONS
This meta-analysis confirmed that after ACLR, middle age (>40 years) and young age (<40 years) patients did not present with significant difference in clinical and arthrometric results.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Ligament Reconstruction in Congenital Absence of the Anterior Cruciate Ligament: A Case Report
- Anterior Cruciate Ligament Reconstruction with Achilles Tendon Allograft
- The Effect of Cyclic Tensile Load on Various Tibial Fixation Techniques in Anterior Cruciate Ligament Reconstruction
- Open anterior cruciate ligament reconstruction using inside-out femoral drilling
- Anterior Cruciate Ligament Reconstruction: The Long Road from Science to Clinical Relevance
