Author(s)

PeiWen Sun

Corresponding Author

PeiWen Sun

ABSTRACT

To compare the clinical outcomes of single-bundle anterior cruciate ligament (ACL) reconstruction between the anteromedial (AM) and transtibial (TT) techniques. Methods: we include the clinical randomized controlled trials and prospective and retrospective controlled trials using the single-bundle anterior cruciate ligament (ACL) reconstruction with the anteromedial (AM) or transtibial (TT) techniques published up to July 2018, were retrieved from PubMed, Embase databases and Cochrane Library. The relevant articals were assess the methodological quality by the Physiotherapy Evidence Database (PEDro) scale and the methodological index for non-randomized studies (MINORS) csale. Results: (7)RCTs were included, (9) prospective and retrospective controlled trials were include, with a total of (1418) patients. (723) patients and (695) patients in the AM group and the TT group. And better results were found in the AM group, assessing the postoperative functional outcome of the dichotomous negative rate of the Lachman test, pivots test, IKDC grades and the continuous IKDC scores and lysholm scores (P<0.05). Conclusions: the outcome of the single-bundle anterior cruciate ligament (ACL) reconstruction may lead a contribution that the right now the AM technology may lead a significational better clinical outcome but we still need more research in the future.

KEYWORDS

Meta-analysis; anterior cruciate ligament; reconstruction; transportal