Abstract:Objective: To compare the efficacy of two different treatments for anterior cruciate ligament (ACL) rupture. Methods: The clinical data of 63 patients with ACL rupture in our hospital from September 2014 to August 2018 were collected. According to the different treatment methods, the patients were divided into non-tension-relieving group (41 cases) with routine anatomical reconstruction and post-operative rehabilitation, and without tension-relieving technique was used; the tension-relieving group (22 cases) with tension-relieving technique anatomical reconstruction and post-operative rapid rehabilitation treatment. The patients in both groups were followed up after operation. The knee flexion, Lysholm knee score and Hospital for Special Surgery (HSS) score before and after operation were compared between the two groups. The complications were recorded during the follow-up period. Results: All 63 patients were followed up for an average of (14.05±2.25) months. In the non-tension-relieving group, there were 2 cases of ligament relaxation and 1 case of joint stiffness. In the tension-relieving group, there was no complications and the ligament grew well. Compared with pre-operation, the knee flexion of the two groups increased significantly at 1 and 3 months after operation, and the knee flexion of the tension-relieving group was significantly higher than that of the non-tension-relieving group (P< 0.05). At 3, 6 and 12 months after operation, Lysholm knee score in both groups increased significantly compared with that before operation, and those scores in the tension-relieving group increased significantly compared with that in the non-tension-relieving group (P< 0.05). Compared with pre-operation, the HSS scores of the two groups increased significantly at 3, 6 and 12 months after operation, and the scores of the tension-relieving group increased significantly compared with those of the non-tension-relieving group (P< 0.05). Conclusion: Anatomical reconstruction with relaxation technique and rapid rehabilitation after operation can effectively improve the knee function of ACL rupture patients, promote the recovery of knee function, and reduce the occurrence of complications. It has a good safety. It is helpful to promote the recovery of patients'motor function, and its clinical effect is obviously better than that of those without tension-reducing technique.
陈松亮, 林涌生, 郭仰丹, 李扬, 林志斌. 两种不同治疗方式治疗ACL断裂的疗效对比[J]. 河北医学, 2019, 25(6): 998-1001.
CHEN Songliang, LIN Yongsheng, GUO Yangdan, et al. Comparison on the Therapeutic Effect of two Different Treatment for ACL Rupture. HeBei Med, 2019, 25(6): 998-1001.
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