摘要
目的:比较保守康复方案与激进康复方案对关节镜下骨-髌腱-骨自体移植重建前交叉韧带术后康复的影响。方法:中山大学附属第三医院骨科1999-09/2002-09前交叉韧带术后患者45例,分为保守方案组(24例)和激进方案组(21例),分别应用保守和激进康复方案进行术后康复,术后2年检测膝关节功能及稳定性,评价其疗效。结果:术后2年,关节松弛度测量阳性者保守方案组4例(17%)、激进方案组4例(19%),Lysholm膝关节评分两组各有1例疗效差。膝关节功能及稳定性无明显差异(P>0.05)。激进方案组早期关节肿胀较明显、渗液较多,术后行关节穿刺抽液患者激进方案组15例、保守方案组10例,差异有显著性意义(P<0.05)。恢复正常运动训练所需时间保守方案组1年、激进方案组9个月。结论:两种方案均安全有效,激进康复可明显缩短康复时间,更快地获得膝关节良好的功能。
AIM:To compare the effects of conservative rehabilitation and accelerated reha bilitation on postoperative rehabilitation after bone-patellar tendon-bone aut ograft under arthroscope for anterior cruciate ligament reconstruction. METHODS:Forty five patients who underwent anterior cruciate ligament operatio n in the Department of Orthopaedics,Third Affiliated Hospital of Sun Yat en Uni versity from September 1999 to September 2002 were divided into conservative reh abilitation regime group(n=24) and accelerated rehabilitation regime group(n=21) .The two groups were treated with conservative and accelerated rehabilitation re gimes respectively.The knee function and stability were detected 2 years after o peration,and the therapeutic effect was assessed. RESULTS:Two years after operation,the measurement of joint laxity was positive in 4 cases(17%) in conservative rehabilitation regime group and in 4 cases(19 %) in accelerated rehabilitation regime group,and both of the two groups were f ound poor in 1 case for the Lysholm score of knee joint.There were no significan t difference in knee joint and stability between the two groups(P >0.05).Joint s welling and effusion were found more in accelerated rehabilitation regime group. Aspiration was performed more frequently in the accelerated rehabilitation regim e group(15 cases) than in the conservative rehabilitation regime group(10 cases) (P< 0.05).The training time for normal joint movement was 1 year for the acceler ated rehabilitation regime group,and 9 months for the conservative rehabilitatio n regime group. CONCLUSION:Either of the two rehabilitation regimes is effective,but the accel erated rehabilitation can obviously shorten the time for rehabilitation and acce lerate the recovery of knee joint function.
出处
《中国临床康复》
CSCD
北大核心
2005年第14期1-3,共3页
Chinese Journal of Clinical Rehabilitation
