| 李云霞,陈世益,翟伟韬,陈疾忤,华英汇.自体腘绳肌腱重建前交叉韧带术后两种康复程序效果比较[J].中国康复医学杂志,2008,23(1):16~18 |
| 自体腘绳肌腱重建前交叉韧带术后两种康复程序效果比较 点此下载全文 |
| 李云霞 陈世益 翟伟韬 陈疾忤 华英汇 |
| 复旦大学运动医学中心,复旦大学附属华山医院运动医学科， 上海， 200040;复旦大学运动医学中心,复旦大学附属华山医院运动医学科， 上海， 200040 |
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| 摘要点击次数: 2974 |
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| 摘要： |
| 目的:观察自体腘绳肌腱重建前交叉韧带术后两种不同康复程序的效果。方法:单侧自体腘绳肌腱重建膝关节前交叉韧带手术的患者60例，其中保守康复组36例，激进康复组24例。术后6个月时比较关节活动度、髌上10cm处双侧大腿周径差值、Lysholm评分、IKDC评分、关节稳定性和MRI检查移植物骨隧道直径。结果:两组术后6个月比较，膝关节活动度无明显差异；髌上10cm处双侧大腿周径差值无明显差异；Lysholm评分无明显差异；IKDC评分有明显差异；关节稳定性检查均为阴性；MRI检查移植物骨隧道扩大有明显差异。结论:自体腘绳肌肌腱重建膝关节前交叉韧带术后早期康复可以改善膝关节功能，但是并非越激进越好，应以适度康复为原则。 |
| 关键词：前交叉韧带 重建 康复 腘绳肌腱 |
| Comparison between two different rehabilitation procedures following ACL autograft reconstruction with quadrupled hamstring tendons Download Fulltext |
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| Dept. of Rehabilitation，Huashan Hospital，Fudan University，Shanghai，200040;Dept. of Rehabilitation，Huashan Hospital，Fudan University，Shanghai，200040 |
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| Abstract: |
| Objective:To compare the effects of two different rehabilitation procedures following ACL autograft reconstruction with quadrupled hamstring tendons. Method: Sixty patients were undergone ACL reconstructions by using quadrupled semitendinosus and gracilis tendons， and divided into two groups: 36 experienced moderate rehabilitation procedures for 6 months and 24 accelerated rehabilitation procedures. The knee range of motion, thigh perimeter, Lysholm score, IKDC score, knee stability test and bone tunnel diameter in MRI films were evaluated. Result: Six months later, all patients had negative Lachman and Pivot shift test. There was no difference in the knee range of motion, thigh perimeter and Lysholm score. But IKDC scores of moderate procedure were better than that of accelerated procedure. The bone tunnel widening with accelerated procedure was larger than that with moderate procedure. Conclusion:Early rehabilitation is benefit for restoration of knee function after ACL reconstruction. Moderate procedure is better than accelerated. |
| Keywords:anterior cruciate ligament reconstruction rehabilitation hamstring tendons |
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