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不同手术时机行关节镜下前交叉韧带重建术对患者术后膝关节功能恢复的影响研究 被引量:9

Study on the Influence of Arthroscopic Anterior Cruciate Ligament Reconstruction at Different Operation Timing on the Postoperative Knee Joint Function Recovery
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摘要 目的探讨不同手时机行关节镜下前交叉韧带(ACL)重建术对患者术后膝关节功能恢复的影响。方法根据患者损伤到接受手术时间,将60例ACL损伤患者分为观察组(损伤到接受手术时间≤3周,32例)与对照组(损伤到接受手术时间>3周,28例)。两组患者均随访6个月,观察其膝关节功能恢复情况及并发症发生情况。结果术后6个月,两组的膝关节活动度、IKDC评分与Lysholm评分均高于术前,而观察组的膝关节活动度、IKDC评分与Lysholm评分均显著高于对照组(P<0.05)。观察组的术后并发症发生率为3.13%,显著低于对照组的21.43%(P<0.05)。结论膝关节ACL损伤的患者在损伤发生后3周内予以关节镜下ACL重建术,可促进患者术后膝关节功能恢复,降低术后并发症发生率。 Objective To explore the influence of arthroscopic anterior cruciate ligament(ACL)reconstruction at different operation timing on postoperative knee joint function recovery.Methods 60 patients with ACL injury were divided into observation group(the time from injury to operation≤3 weeks,32 cases)and control group(the time from injury to operation>3 weeks,28 cases)according to the time from injury to operation.Both groups were followed up for 6 months,and the knee joint function recovery and complications were observed.Results 6 months after operation,the knee joint motion degree,IKDC scores and Lysholms scores of the two groups were higher than those before operation,and the knee joint motion degree,IKDC score and Lysholms score of the observation group were significantly higher than those of the control group(P<0.05).The incidence of postoperative complications in the observation group was 3.13%,significantly lower than 21.43%in the control group(P<0.05).Conclusions For patients with ACL injury of knee joint,arthroscopic ACL reconstruction within 3 weeks after injury occurrence can promote the recovery of knee joint function,and reduce the incidence of postoperative complications.
作者 孙江森 SUN Jiangsen(Department of Orthopedics,Huizhou First People's Hospital,Huizhou 516000,China)
出处 《临床医学工程》 2021年第5期581-582,共2页 Clinical Medicine & Engineering
关键词 手术时机 关节镜 前交叉韧带重建术 膝关节功能恢复 并发症 Operation timing Arthroscope Anterior cruciate ligament reconstruction Knee joint function recovery Complication
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