ACCELERATED REHABILITATION FOR MENISCUS REPAIRS
ACCELERATED REHABILITATION FOR MENISCUS REPAIRS
复制标题
DOI：
10.1016/s0749-8063(05)80095-7
复制
发表时间：
1994-04-01
期刊：
影响因子：
4.7
通讯作者：
BARBER, FA
中科院分区：
文献类型：
--
作者：
BARBER, FA
虽然半月板撕裂适合修复是罕见的，半月板修复是首选的半月板切除术。 不幸的是，通常建议的术后限制妨碍了运动员快速恢复运动，并可能导致选择半月板切除术而不是半月板修复术。 目前已发表的半月板修复后康复计划存在很大差异。 迄今尚未对这些变数作出客观评估。 为了评估术后限制运动、负重和敏捷性活动的价值，将我们之前发表的“标准"Ehthorne程序与允许无限负重、全运动和不限制旋转运动的”加速"程序进行了比较。 第1组（58例修复）采用常规治疗，术后平均38个月时有11例失败（19%）。 第1组的平均年龄为23岁（范围14-45岁）。 第2组，包括40例采用“加速”程序治疗的修复，在平均20个月的随访中有4例失败（10%）。 第2组的平均年龄为26岁（范围15-40岁）。 第1组35%和第2组25%的患者进行了关节镜下二次探查。 这些数据没有显示任何统计学差异，也不支持半月板修复后需要限制活动。
Although meniscus tears suitable for repair are infrequent, meniscal repair is preferable to meniscectomy. Unfortunately, the postoperative restrictions commonly recommended preclude the athlete's rapid return to sports and can lead to the selection of meniscectomy over meniscus repair. Wide variations presently exist in the published postmeniscus repair rehabilitation programs. No objective assessment of these variables has been made to date. To assess the value of postoperative limits to motion, weight bearing, and agility activities, a comparison was made of our previously published ''standard'' ehabilitation program with an ''accelerated'' program permitting unlimited weight bearing, full motion, and no restrictions on pivoting sports. Group 1 (58 repairs), treated conventionally, had 11 failures (19%) at an average of 38 months postsurgery. The average age in group 1 was 23 years (range 14-45). Group 2, which included 40 repairs treated with the ''accelerated'' program, had four failures (10%) at an average follow-up of 20 months. The average age in group 2 was 26 years (range 15-40). Arthroscopic second looks were performed in 35% of group 1 and 25% of group 2. These data fail to show any statistical difference and do not support the need for activity restrictions after a meniscus repair.