Therapeutic effects of tibial support braces on posterior stability after posterior cruciate ligament reconstruction with autogenous hamstring tendon graft.
Therapeutic effects of tibial support braces on posterior stability after posterior cruciate ligament reconstruction with autogenous hamstring tendon graft.
复制标题
胫骨支撑支架对自体腘绳肌腱移植重建后交叉韧带后后稳定性的治疗效果。
DOI：
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复制
发表时间：
2015
影响因子：
4.5
通讯作者：
L. Bai
中科院分区：
文献类型：
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作者：
B. Li;P. Shen;J. Wang;G. Wang;M. He;L. Bai
背景
对于后十字韧带（PCL）重建后大部分时间必须处于仰卧位的患者，由于小腿的重力和紧张的腘绳肌，胫骨往往会向后移动。
目的
观察胫骨支撑支具对PCL重建术后康复的影响。
设计
回顾性研究。
设置
住院病人。
人口
39例患者根据PCL重建后使用不同类型的支具分为常规支具组（N.=18）和胫骨支撑支具组（N.=21）。
方法
所有患者的随访时间均超过2年。 PCL重建前后分别采用国际膝关节文献委员会（IKDC）评分、Lysholm膝关节评分、Tegner活动等级、活动范围（ROM）和膝关节松弛度计评估患膝关节功能。
结果
PCL重建后，两组患膝关节功能均明显改善。与常规支具组相比，胫骨支撑支具组术后Lysholm评分和IKDC评分均显着升高（P<0.05）。然而，常规支具组与胫骨支撑支具组的Tegner活动等级和ROM差异无统计学意义（P<0.05）。
结论
胫骨支撑支具对于PCL重建可以获得更好的治疗效果。
临床康复影响
这项研究表明，与常规支具相比，胫骨支撑支具可以显着改善 PCL 重建后受影响膝关节的机械稳定性和功能结果。
BACKGROUND
In the patients who have to be in supine position for most of the time after posterior cruciate ligament (PCL) reconstruction, the tibia tends to shift backwards due to the gravity of the lower leg and the tensed hamstring muscle.
AIM
To observe the effects of tibial support braces on rehabilitation after PCL reconstruction.
DESIGN
Retrospective study.
SETTING
Inpatients.
POPULATION
Thirty-nine patients were divided into regular brace (N.=18) and tibial support brace (N.=21) groups according to using different types of braces after PCL reconstruction.
METHODS
The follow-up time was more than 2 years in all patients. The function of the affected knee joint was evaluated with International Knee Documentation Committee (IKDC) score, Lysholm knee score, Tegner activity rating, range of motion (ROM) and kneelax arthrometer before and after PCL reconstruction, respectively.
RESULTS
The function of the affected knee joint was significantly improved in both groups after PCL reconstruction. Compared with regular brace group, postoperative Lysholm and IKDC scores were significantly increased in tibial support brace group (P<0.05). However, there were no statistical differences in Tegner activity rating and ROM between regular brace group and tibial support brace group (P<0.05).
CONCLUSION
Tibial support brace can obtain better therapeutic effects for PCL reconstruction.
CLINICAL REHABILITATION IMPACT
This study suggests that compared with regular brace, tibial support brace can significantly improve the mechanical stability and functional outcomes of the affected knee after PCL reconstruction.