Risk factors for restricted motion after anterior cruciate reconstruction.
Risk factors for restricted motion after anterior cruciate reconstruction.
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前交叉韧带重建后运动受限的危险因素。
DOI：
10.3928/0147-7447-19941001-07
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发表时间：
1994
期刊：
影响因子：
1.1
通讯作者：
James S. Keene
中科院分区：
文献类型：
--
作者：
Ben K. Graf;Judson W Ott;Richard H. Lange;James S. Keene
对373例利用髌腱中央三分之一行前交叉韧带（ACL）重建的患者进行回顾性分析，以确定患者术后活动受限（屈曲<或= 125度或屈曲挛缩>或= 10度）风险的因素。逐步逻辑回归分析确定与受限的最终活动范围（ROM）最密切相关的变量是开放手术（P = .0008）和初始损伤后<或= 7天进行重建（P = .004）。年龄、相关的半月板修复或相关的副韧带损伤对ROM没有显著影响。一个由204名患者组成的亚组，在损伤后7天以上进行关节镜重建，在手术后2天内开始进行ROM锻炼，其运动受限的可能性显著降低（P = 0.008）。这些数据支持延迟关节镜下前交叉韧带重建，随后进行早期ROM练习，作为避免术后运动问题的有用技术。
A retrospective review of 373 patients who had undergone anterior cruciate ligament (ACL) reconstruction utilizing the central third of the patellar tendon was undertaken to identify those factors that placed a patient at risk for restricted postoperative motion (flexion < or = 125 degrees or flexion contracture > or = 10 degrees). Stepwise logistic regression analysis determined that the variables most strongly correlated with restricted final range of motion (ROM) were open surgery (P = .0008) and reconstruction performed < or = 7 days after the initial injury (P = .004). Age, associated meniscal repair, or associated collateral ligament injuries did not significantly affect the ROM. A subgroup of 204 patients arthroscopically reconstructed more than 7 days post-injury were significantly less likely to have limited motion when ROM exercises were begun within 2 days of surgery (P = .008). These data support delayed, arthroscopic ACL reconstruction followed by early ROM exercises as useful techniques for avoiding postoperative motion problems.