自体腘绳肌腱移植重建前交叉韧带患者的功能结局:六个月随访

A. Golež, Matjaž Sajovic, Natasa Sipka
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引用次数: 0

摘要

背景:前交叉韧带断裂是一种常见的膝关节损伤,尤其在运动员中。膝关节前交叉韧带断裂需要康复治疗。如果良好的手术效果和强化的术前和术后康复导致最佳结果,患者可以在短期内恢复到损伤前的运动水平。目的:比较双侧重建膝关节与自体腘绳肌腱移植术后6个月前交叉韧带的肌力和稳定性。方法:65例患者,男性44例,女性21例。结果测量包括等速力量、平衡、跳跃指数和膝关节松弛度的KT-1000。结果:术后6个月,手术膝关节与非手术膝关节在等速、平衡(手术与非手术腿平均差值均值为1.036)、跳跃指数(手术与非手术腿平均差值均值为0.8540)、KT-1000值(手术与非手术腿平均差值均值为2.238)方面差异较小。在角速度为240°时,手术膝关节的峰值扭矩平均损失为伸肌13.4%,屈肌7.8%。结论:屈肌腱重建膝关节与未手术的膝关节效果相似。建议术后完全负重,不使用支具。良好的手术技术和手术前后的强化康复是非常重要的。手术后6个月,患者可以恢复体育活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional Outcome in Patients after Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft: A Six-Month Follow-up
Background: Anterior cruciate ligament rupture is a common knee injury, especially in sportsmen. Rupture of the anterior cruciate knee ligament necessitates rehabilitation. If good operative results and intensive pre- and post-operative rehabilitation lead to an optimal outcome, patients can return to the pre-injury level of sports activity in the short term.Objective: Muscle strength and stability of anterior cruciate ligament in reconstructed knees have been bilaterally compared with hamstring tendon autograft at 6 months following surgery.Methods: Sixty-five patients, 44 men, and 21 women, participated in the study. The outcome measures consisted of isokinetic strength findings, balance, hop index and KT-1000 for knee laxity.Results: A small difference between the operated and non-operated knees in isokinetic, balance (Mean of average difference between operated and non-operated leg was 1.036), hop index (Mean of average difference between operated and non-operated leg was 0.8540), and KT-1000 values (Mean of average difference between operated and non-operated leg was 2.238) was noted at 6 months after the surgery. The average deficit of the peak torque in the operated knee at angular velocity 240° was 13.4% for extensor muscles and 7.8% for flexor muscles.Conclusion: Reconstructed knees with flexor tendons exhibit similar results as opposite, non-operated knees. Full weight bearing and no use of brace after surgery is advised. Good surgery technique and intensive pre- and post-surgery rehabilitation are very important. Six months after surgery patients are allowed to go back to sports activity.
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