跟腱重建前十字韧带术后康复治疗恢复膝关节功能的疗效分析

Inrecentyears，withtherapidpopularizationofarthroscopictechniquesandsuccessfulapplicationofallogenictissuegraft，wereconstructedACLusingallogenicachillestendonunderarthroscopybyisometricreestablishment，biologicalfixation．１Subjectandmethod１．１SubjectFromJanuary１９９６toJune２００１，３８patientswererecruited．Thesepatientsincluded３１men（３２lesions），３womenaged１８～３６yearswithmeanageof２４．３．Lesionsconsistedof１２leftinjuries，２１rightinjuries，１bilateralinjury．Causesofinj…

Analysis of therapeutic effect of rehabilitation treatment improving function of knee joint following reconstruction anterior crucial ligament with allogenic achilles tendon under arthroscopy

Objective Combining the reconstruction of anterior crucial ligament(ACL) with functional rehabilitation,we recover the injured knee as possible as can.Methods 38 patients received ACL reconstruction with allogenci Achilles tendon under arthroscopy.We reconstructed the injured ACL and the injured medial crucial ligament(MCL) by utilization of length of achiles tendon.Then we carried out different rehabilitations in accordance with special needs of the patients.Results The follow up was performed for more than 7 months in 34 cases.Lysholm method was used to evaluate patients' function before and after operation.Results showed average score was 53.8 preoperatively, and 84.2 postoperatively,the good rate was 84.4% .In the objective examination,anterior drawer test(ADT),31 cases were positive preoperatively,1 was positive postoperatively;lachman test:34 were positive preoperatively,1 was positive postoperatively;4 were weak positive postoperatively.There were 3 cases with pain of knee joints and 4 cases with limitation of activity of knee joints(5～ 20 degree) postopratively.Conclusion Combination of reconsgruction of ACL with allogenic achilles tendon and the functional rehabilitation can gain remarkable curative effect.