Effect of stump-preserving arthroscopic reconstruction or stump-eliminating arthroscopic reconstruction combined with exercise rehabilitation therapy on knee functional recovery in patients with anterior cruciate ligament injuries.
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引用次数: 0
Abstract
Introduction: The aim of this study was to evaluate the effect of stump-preserving arthroscopic anterior cruciate ligament (ACL) reconstruction (ACLR) combined with exercise rehabilitation therapy on knee functional recovery in patients with ACL injuries.
Methods: Patients with ACL injuries (n = 120) were randomly divided into an observation group (60 patients; stump-preserving ACLR) or a control group (60 patients; stump-eliminating ACLR) using the randomised numerical table method. Both groups underwent a 12-week postoperative exercise rehabilitation treatment. Pain, swelling and range of motion (ROM) were recorded. Before reconstruction, and at 3, 6 and 12 months after reconstruction, proprioception was assessed by threshold to detection of passive motion (TTDPM) and passive angle regeneration test, and knee function was assessed using Lysholm and International Knee Documentation Committee (IKDC) function scores. Postoperative complications were recorded in both groups.
Results: After ACLR, in both groups, pain and swelling were reduced, the ROM of knee flexion, extension, internal rotation and external rotation increased, the TTDPM and passive angle regeneration test results were reduced, and the Lysholm and IKDC function scores were increased. More significant improvements were seen in the observation group. The incidence of postoperative complications in the observation group was 13.33% (8 of 60), less than the 15.00% (9 of 60) in the control group (p > 0.05).
Conclusions: Arthroscopic stump-preserving ACLR combined with exercise rehabilitation therapy can significantly reduce postoperative pain and swelling in patients with ACL injuries and improve postoperative knee mobility and proprioception.
期刊介绍：
The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November.
The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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