Rehabilitation after arthroscopic reconstruction of anterior cruciate ligament with quadrupled-stranded semitendinosus tendon and suture plate
- VernacularTitle:采用四股半腱肌肌腱和缝线钢板重建前十字韧带后的康复训练
- Author:
Jinzhong ZHAO
;
Yao JIANG
;
Hao SHEN
- Publication Type:Journal Article
- Keywords:
Arthroscopy;
Anterior cruciate ligament;
Rehabilitation
- From:
Chinese Journal of Orthopaedics
2000;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce the rehabilitation methods after arthroscopic reconstruction of the anterior cruciate ligament with quadrupled stranded semitendinosus tendon and suture plate, and to evaluate the clinical outcome. Methods Fifty one cases of the anterior cruciate ligament ruptures were reconstructed arthroscopically with quadrupled stranded semitendinosus tendon and suture plate. The patients were instructed postoperatively for rehabilitation for more than one year. According to Lysholm knee score scale, the knee function score were 56.7?7.4 before surgery. The rehabilitation program included brace immobilization and weight bearing, exercises for muscle strength, range of motion, proprioception, and muscle extension. Through analysis of stability, muscle strength, range of motion and gaits, and through knee scale score evaluation, the applicability and effectiveness of this rehabilitation program were studied. Results The ranges of motion of the operated knee were regained in all cases three months after surgery. The quadriceps/hamstrings peak torque ratio reached approximately 80 percent of the uninjured leg one year after operation. KT 1000 examination showed that the anterior laxity of the operated knee was greater than the normal knee in 11.76 percent and in 10.41 percent of the patients respectively, six and twelve months postoperatively, but the side to side differences were less than 4 mm. In the other patients, the anterior laxity of the operated knee was equal to or less than that of the normal knee. One year after operation, 95.83 percent of the patients regain normal gaits, and the total knee score were 97.8?1.2 according to Lysholm knee score scale. Statistically the difference between the Lysholm score before and one year after operation has prominent significance. Conclusion For the patients after ACL reconstruction, this rehabilitation procedure was practical and effective for the functional restoration of the injured knee as well as the injured leg.
