两种不同治疗方式治疗ACL断裂的疗效对比

doi:10.3969/j.issn.1006-6233.2019.06.031

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1276 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： Anterior cruciate ligament rupture Tension-relieving technique Knee joint Anatomical reconstruction Rapid rehabilitation after operation

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2019.06.031 OR http://www.hbyxzzs.cn/EN/Y2019/V25/I6/998

[1] Zeman P, Kasl J, Tupy R, et al.Evaluation of the MRI findings on a tendon graft after the anatomic anterior cruciate ligament reconstruction in patients with versus without the application of platelet-rich fibrin - results of the prospective randomised study[J].Acta Chir Orthop Traumatol Cech,2018,85(5):343~350.
[2] Michalitsis S, Vlychou M, Malizos KN, et al. Meniscal and articular cartilage lesions in the anterior cruciate ligament-deficient knee: correlation between time from injury and knee scores[J]. Knee Surg Sports Traumatol Arthrosc, 2015,23(1):232~239.
[3] Mueller LM, Bloomer BA, Durall CJ. Which outcome measures should be utilized to determine readiness to play after ACL reconstruction[J].Sport Rehabil, 2014,23(2):158~164.
[4] Yaghmour KM, Al-Khateeb H.Anterior cruciate ligament reconstruction without the use of a tourniquet[J].Ann R Coll Surg Engl,2018,1(1):1~3.
[5] Wang W, Liu L, Chang X, et al.Cross-cultural translation of the Lysholm knee score in Chinese and its validation in patients with anterior cruciate ligament injury[J].BMC Musculoskelet Disord,2016,17(1):436.
[6] Mccarthy M, Mallett K, Abola M, et al. Hospital for Special Surgery ACL registry: 2-year outcomes suggest low revision and return to OR rates[J]. HSS J,2017,13(2):119~127.
[7] 滕群群,董晓艳,魏民,等.ACL重建术后引流放置效果的临床观察及护理[J].河北医学,2016,22(7):1189~1192.
[8] Ariel de Lima D, Helito CP, Lima FRA, et al.Surgical indications for anterior cruciate ligament reconstruction combined with extra-articular lateral tenodesis or anterolateral ligament reconstruction[J].Rev Bras Ortop,2018,53(6):661~667.
[9] Selim NM.Anatomic double-bundle anterior cruciate ligament reconstruction with hamstring tendon autograft through single femoral tunnel and single branched tibial tunnel[J].Arthrosc Tech,2018,7(10):e989~e998.
[10] Packer JD, Bedi A, Fox AJ, et al. Effect of immediate and delayed high-strain loading on tendon-to-bone healing after anterior cruciate ligament reconstruction[J].Bone Joint Surg Am,2014,96(9):770~777.
[11] 刘书芳,矫玮,张晓辉.不同康复方案对前交叉韧带重建术后运动员骨隧道的影响[J].中国运动医学杂志,2016,35(2):141~146,125.
[12] Cronstrom A.Is poor proprioception associated with worse movement quality of the knee in individuals with anterior cruciate ligament deficiency or reconstruction[J].Phys Ther Sci,2018,30(10):1278~1283