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首页> 外文期刊>American Journal of Sports Medicine >The effect of exercise and rehabilitation on anterior-posterior knee displacements after anterior cruciate ligament autograft reconstruction.
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The effect of exercise and rehabilitation on anterior-posterior knee displacements after anterior cruciate ligament autograft reconstruction.

机译：运动和康复对前交叉韧带自体移植重建后膝后移位的影响。

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摘要

We studied the effect of rehabilitation strength training and return to activities on anterior-posterior knee displacements after patellar tendon autogenous anterior cruciate ligament reconstruction. A total of 938 measurements were sequentially collected for 142 patients with the KT-2000 arthrometer. Rehabilitation included immediate knee motion and early weightbearing, light sports at 6 months, and competitive sports at 8 months or later. At a minimum of 2 years after surgery, 121 patients (85%) had normal displacements (less than 3 mm of increase at 134 N), 14 (10%) had 3 to 5.5 mm of increase (partial function), and 7 (5%) had more than 5.5 mm of increase (failed). There was no association found between the initial onset of the abnormal displacements in the 21 knees and either the amount of time after surgery or the rehabilitation program. Six of the seven grafts that failed did so in the 1st postoperative year. Serial displacement measurements allow early detection of graft stretching and subsequent modification of rehabilitation or delay in return to strenuous activities. These measurements showed that the rehabilitation program used in this study was not itself injurious and resulted in an acceptable failure rate of 5%.
机译：我们研究了strength肌腱自体前交叉韧带重建后康复力量训练和恢复活动对前后膝关节移位的影响。使用KT-2000关节流量计，对142例患者进行了总共938次测量。康复包括立即膝盖运动和早期负重，6个月进行轻度运动以及8个月或更晚进行竞技运动。术后至少2年，有121例患者（85％）移位正常（在134 N时增加不到3毫米），有14例（10％）移位从3到5.5毫米（部分功能），有7例（部分5％）的增量超过5.5毫米（失败）。在21个膝盖的异常移位的初始发作与手术后的时间或康复计划之间没有发现关联。术后第一年，失败的七个移植物中有六个是这样做的。连续位移测量可以及早发现移植物的伸展情况，并随后进行康复改造或延迟恢复剧烈活动。这些测量结果表明，本研究中使用的康复计划本身并没有造成伤害，并且可以将失败率定为5％。

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