关节镜下经后中隔入路后交叉韧带重建术后康复效果的探讨  

Rehabilitation after reconstruction of posterior cruciate ligament by arthroscopic trans-septal approach

作　　者：周凤华[1] 白伦浩[2] 张志强[1] 张永强[1] 

机构地区：[1]中国医科大学附属盛京医院康复科,辽宁沈阳110004 [2]中国医科大学附属盛京医院骨科,辽宁沈阳110004

出　　处：《中国医科大学学报》2007年第2期169-170,共2页Journal of China Medical University

基　　金：辽宁省教育厅基金资助项目(05L493)

摘　　要：目的:探讨关节镜下经后中隔入路后交叉韧带重建术后康复治疗的临床效果和重要性。方法:对31例应用关节镜下经膝关节后中隔入路重建后交叉韧带的患者术后进行系统康复治疗,随访分析术前术后关节活动度、关节稳定性和Lysholm评分。结果:术后随访6～22个月,术前和术后6个月膝关节伸展受限角度分别是6.23°±3.25°和2.15°±2.18°(P<0.01);膝关节屈曲受限角度分别是34.16°±10.95°和15.03°±12.64°(P<0.01)。关节稳定性检查,术后6月患膝后抽屉和后Lanchman试验检查均阴性;患者手术前后Lysholm膝关节评分分别为(43.65±12.21)分和(89.27±8.96)分(P<0.01)。结论:关节镜下经后中隔入路后交叉韧带重建术后康复治疗是保证手术成功的重要环节,它与手术有机结合,效果良好,可促进膝关节功能的恢复。Objective： To evaluate the effectiveness of the rehabilitation program after posterior cruciate ligament （PCL） injury treated surgically by arthroscopic trans-septal approach. Methods：Thirty-one patients with PCL injury underwent PCL reconstruction by arthroscopic trans-septal approach and postoperative rehabilitation program. The range of motion,stability of the knee joint,and Lysholm score were recorded for evaluating the knee function. Results：After 6- to 22-month follow-up, the extension and flexafion of knee joint improved obviously. All patients showed negative PDT and posterior Lanchman test. Lysholm scores significantly increased after operation （43.65±12.21 vs. 89.27±8.96,P 〈 0.01 ）. Conclusion：Rehabilitation program after PCL reconstruction by arthroscopic trans-septal approach could improve knee function effectively.

关 键 词：关节镜 后交叉韧带重建 康复 

分 类 号：R686[医药卫生—骨科学]