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前交叉韧带重建术后肌肉扭矩的变化:45例患者腘绳肌与髌腱移植手术的比较

Changes in muscle torque following anterior cruciate ligament reconstruction: a comparison between hamstrings and patella tendon graft procedures on 45 patients.

作者信息

Anderson Jayne L, Lamb Sallie E, Barker Karen L, Davies Stephanie, Dodd Christopher A, Beard David J

机构信息

Physiotherapy Research Unit, Nuffield Orthopaedic Centre NHS Trust, Oxford, UK.

出版信息

Acta Orthop Scand. 2002 Oct;73(5):546-52. doi: 10.1080/000164702321022820.

DOI:10.1080/000164702321022820
PMID:12440498
Abstract

We designed a prospective study to examine the influence of graft type (hamstring or patella tendon) on thigh muscle torque recovery after anterior cruciate ligament reconstruction. 60 patients undergoing ACL reconstruction, using a hamstring or patella tendon graft, were studied and 45 were followed up to 1 year. Concentric and eccentric quadriceps and hamstring torque were recorded, using an isokinetic dynamometer preoperatively, 6 and 12 months after ACL reconstruction. We found an improvement in all muscle functions in both the operated and unoperated legs during the recovery period. Graft type had no effect on recovery. During the first 6 months, torque was restored to preoperative levels and continued to improve in all muscles and actions between 6 months and 1 year.

摘要

我们设计了一项前瞻性研究,以检验移植物类型(腘绳肌或髌腱)对前交叉韧带重建术后大腿肌肉扭矩恢复的影响。对60例行前交叉韧带重建术、使用腘绳肌或髌腱移植物的患者进行了研究,其中45例随访至1年。在术前、前交叉韧带重建术后6个月和12个月,使用等速测力计记录股四头肌和腘绳肌的向心和离心扭矩。我们发现,在恢复期间,手术侧和未手术侧的所有肌肉功能均有改善。移植物类型对恢复没有影响。在最初的6个月内,扭矩恢复到术前水平,并在6个月至1年期间在所有肌肉和动作中持续改善。

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