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Quantitative evaluation of anterior tibial translation during isokinetic motion in knees with anterior cruciate ligament reconstruction using either patellar or hamstring tendon grafts

机译:pa骨或绳肌腱移植重建前交叉韧带的膝关节等速运动中膝关节前胫骨平移的定量评估

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摘要

We studied 79 patients with unilateral injury to the anterior cruciate ligament (ACL). The patients were randomly allocated to reconstruction with autologous patellar bone-tendon-bone (BTB) grafts (49 knees) or hamstring tendon (ST) grafts (30 knees). We measured anterior tibial translation (ATT) during isokinetic concentric contraction exercise 18–20 months after surgery using a computerized electrogoniometer. In both groups the highest ATT during exercise was observed at a knee flexion of about 20° and was 13.5±3.0 mm in the BTB group and 13.9±3.4 mm in the ST group. There was no difference in the ATT between the reconstructed and healthy knees. For a range of knee flexion between 30 and 50° the ATT in the ST group was significantly higher on the reconstructed side than on the healthy side. In the BTB group, the mean ATT in the reconstructed group was similar to that on the healthy side at a knee flexion angle between 0 and 90°.
机译:我们研究了79名单侧前交叉韧带损伤(ACL)的患者。患者被随机分配至自体pa骨骨腱(BTB)移植(49膝)或绳肌腱(ST)移植(30膝)重建。我们在术后18至20个月的等速同心收缩运动中使用计算机电子测角仪测量了胫骨前移(ATT)。在两组中,运动期间的最高ATT发生在膝盖弯曲约20°时,BTB组为13.5±3.0 mm,ST组为13.9±3.4 mm。重建的膝盖与健康的膝盖之间的ATT没有差异。对于30至50°之间的屈膝范围,ST组的ATT在重建侧明显高于健康侧。在BTB组中,重建组的平均ATT与健康侧的膝关节屈曲角度在0到90°之间相似。

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