Performance-based functional evaluation of non-operative and operative treatment after anterior cruciate ligament injury
Performance-based functional evaluation of non-operative and operative treatment after anterior cruciate ligament injury
复制标题
DOI：
10.1111/j.1600-0838.2008.00816.x
复制
发表时间：
2009-06-01
影响因子：
4.1
通讯作者：
Risberg, M. A.
中科院分区：
文献类型：
--
作者：
Moksnes, H.;Risberg, M. A.
高度活动的前交叉韧带（ACL）损伤患者通常建议手术治疗作为主要干预措施。本研究的目的是在1年随访时比较非手术治疗后个体与手术治疗后个体的功能结局。纳入了125例受试者，平均年龄为27.2岁（+/- 8.6岁），参与了I级或II级活动。基线和1年随访检查包括4次单足跳跃试验、IKDC 2000、KOS-ADLS、KT-1000膝关节测量仪测量、VAS、屈服发作和活动水平。51%的患者接受了非手术治疗。在1年随访时，与ACL重建受试者相比，未手术受试者在4项单腿跳跃试验中的2项中表现明显更好。未观察到其他差异。在1年的随访中，两组在所有单腿跳跃测试中与未受伤的腿相比平均> 90%。非手术组和ACL重建组的IKCD 2000评分平均为86和87。前交叉韧带损伤的受试者应被告知非手术治疗后成功的可能性，但未来的研究需要确定非手术和手术治疗的个人成功的重要预测因素。
Highly active anterior cruciate ligament (ACL)-injured patients are usually recommended surgical treatment as the primary intervention. The objective of this study was to compare the functional outcome in a cohort of individuals after non-operative treatment to individuals after surgical treatment at a 1-year follow-up. One hundred and twenty-five subjects with a mean age of 27.2 years (+/- 8.6 years), and participating in level I or II activities were included. Baseline and 1-year follow-up examination included four single-legged hop tests, IKDC 2000, KOS-ADLS, KT-1000 knee arthrometer measurement, VAS, episodes of giving way, and activity level. Fifty-one percent went through non-operative treatment. Non-operated subjects performed significantly better on two of the four single-legged hop tests compared with the ACL-reconstructed subjects at the 1-year follow-up. No other differences were observed. Both groups performed an average > 90% compared with their uninjured leg on all single-legged hop tests at the 1-year follow-up. The IKCD 2000 scores in the non-operated and ACL-reconstructed group were on average 86 and 87. ACL-injured subjects should be informed of the possibility of success after non-operative treatment, but future studies are needed to determine significant predictive factors for success for non-operative and surgically treated individuals.