The effect of exercise and rehabilitation on anterior-posterior knee displacements after anterior cruciate ligament autograft reconstruction
The effect of exercise and rehabilitation on anterior-posterior knee displacements after anterior cruciate ligament autograft reconstruction
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DOI：
10.1177/03635465990270012201
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发表时间：
1999-01-01
影响因子：
4.8
通讯作者：
Shaffer, BL
中科院分区：
文献类型：
--
作者：
Barber-Westin, SD;Noyes, FR;Shaffer, BL
我们研究了康复力量训练和恢复活动对髌腱自体前交叉韧带重建后膝关节前后移位的影响。使用KT-2000关节计对142例患者进行了938次测量。康复包括立即进行膝关节运动和早期负重，6个月时进行轻度运动，8个月或更晚进行竞技运动。术后至少2年，121例患者（85%）移位正常（134 N时移位小于3mm）， 14例（10%）移位3 - 5.5 mm（部分功能），7例（5%）移位超过5.5 mm（失败）。21例膝关节异常移位的初始发作与术后时间或康复计划之间没有关联。7例移植失败的患者中有6例是在术后1年内失败的。连续位移测量可以早期发现移植物拉伸和随后的康复修改或延迟返回剧烈活动。这些测量结果表明，本研究中使用的康复方案本身是无害的，其失败率为5%，是可以接受的。
We studied the effect of rehabilitation strength training and return to activities on anterior-posterior knee displacements after patellar tendon autogenous anterior cruciate ligament reconstruction. A total of 938 measurements were sequentially collected for 142 patients with the KT-2000 arthrometer. Rehabilitation included immediate knee motion and early weightbearing, light sports at 6 months, and competitive sports at 8 months or later. At a minimum of 2 years after surgery, 121 patients (85%) had normal displacements (less than 3 mm of increase at 134 N), 14 (10%) had 3 to 5.5 mm of increase (partial function), and 7 (5%) had more than 5.5 mm of increase (failed), There was no association found between the initial onset of the abnormal displacements in the 21 knees and either the amount of time after surgery or the rehabilitation program. Six of the seven grafts that failed did so in the Ist postoperative year. Serial displacement measurements allow early detection of graft stretching and subsequent modification of rehabilitation or delay in return to strenuous activities. These measurements showed that the rehabilitation program used in this study was not itself injurious and resulted in an acceptable failure rate of 5%.