BACKGROUND:Grafts are often used to reconstruct the anterior cruciate ligament in clinical practice,while different types of grafts affect postoperative knee function and the development of rehabilitation programs. OBJECTIVE:To retrospectively analyze the effects of different graft types on muscle strength,joint stability,functional activities,and return to sports in patients after anterior cruciate ligament reconstruction. METHODS:Related studies were searched through PubMed,Web of Science,Cochrane,CNKI,and WANFANG databases.The Chinese and English key words were"anterior cruciate ligament reconstruction,autografts,allografts,artificial ligaments,bone-patellatendon-bone,quadriceps tendon autograft,hamstring tendon autograft,peroneus longus tendon autograft,rehabilitation,exercise,protocol,return to sport". RESULTS AND CONCLUSION:Patients with bone-patellar tendon-bone grafts should strengthen centrifugal contraction exercises of quadriceps muscle,and pay attention to the recovery of quadriceps muscle endurance and explosive power in the later stage of rehabilitation.Compared with bone-patellar tendon-bone grafts and hamstring tendon grafts,significantly fewer patients with quadriceps tendon grafts met regression criteria within 5-8 months,and a longer training plan should be developed,with the training cycle lasting as long as possible to more than 3 years.The selection of hamstring tendon grafts should strengthen the hamstring muscle strength training under multiple angles,especially the cycle of bending the knee above 60° until at least 18 weeks after surgery.Patients who choose peroneus longus tendon graft should strengthen the muscle strength around the ankle,mainly the plantar muscle strength.In the selection of allograft,attention should be paid to the reduction of tension resistance of 20%after the graft is disinfected by low-dose radiation,so attention should be paid to knee stability training.Patients who choose artificial ligament grafts can gradually enhance quadriceps and hamstring muscle strength training within 3-6 weeks,pay attention to early proprioceptive exercises,and conduct targeted training on balance,jumping,and flexibility.

Objective To explore the correlation between treatment compliance and rumination among maintenance hemodialysis (MHD) patients and to analyze the influencing factors of treatment compliance.Methods From June 2016 to June 2017,we selected 180 MHD patients of the Seventh People's Hospital of Zhengzhou by convenience sampling.All of the patients were divided into poor compliance group (n=53) and good compliance group (n=127) according to the judgment criteria for MHD compliance.We collected clinical data of two groups and investigated the rumination of patients between two groups with the Chinese Version of Event Related Rumination Inventory (ERRI).Spearman rank correlation was used to analyze the correlation between treatment compliance and rumination of patients.Besides,the Logistic regression was used to analyze the influencing factors of treatment compliance among patients.Results There were statistical differences in sexes,ages,educational status,family monthly earning,the ratio of medical reimbursement and time of dialysis between poor compliance group and good compliance group (P＜ 0.05).The score of intrusive rumination in good compliance group was lower than that in poor compliance group;the score of purposive rumination and total score of rumination in good compliance group were higher than those in in good compliance group,all with significant differences (P＜0.05).Spearman rank correlation analysis showed that treatment compliance was positively correlated with purposive rumination and total score of rumination and negatively correlated with intrusive rumination (P＜0.01).Logistic regression analysis indicated that the influencing factors of treatment compliance of MHD patients included sexes,educational status,family monthly earning,time of dialysis and level of rumination (P＜0.01).Conclusions There is a correlation between treatment compliance and rumination among maintenance hemodialysis MHD patients.Nurses should pertinently improve patients' purposive rumination and reduce intrusive rumination so as to improve patients' treatment compliance,treatment effects and quality of quality.