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前交叉韧带重建术后首月使用自体腘绳肌腱移植的康复方案——初步报告

A protocol of rehabilitation after ACL reconstruction using a hamstring autograft in the first month after surgery--a preliminary report.

作者信息

Biernat Ryszard, Wołosewicz Mariusz, Tomaszewski Wiesław

机构信息

Olsztyńska Szkoła Wyzsza im. J. Rusieckiego, Olsztyn.

出版信息

Ortop Traumatol Rehabil. 2007 Mar-Apr;9(2):178-86.

Abstract

BACKGROUND

The purpose of this paper is to present a protocol of rehabilitation after ACL reconstruction using a hamstring autograft in the first month after surgery. The program enables the patient to return early to everyday activities (school, sedentary work) without crutches or a stabilizer.

MATERIAL AND METHODS

The program has been developed in accordance with rehabilitation protocols employed at Karolinska Institute in Sweden and Prof. Shelbourne's Clinic in the USA. The study group included 31 patients (18 men and 13 women).

RESULTS

Patients rehabilitated in the Department according to our program achieved stable gait patterns and were able to step up and down within four to seven weeks.

CONCLUSIONS

Early patient mobilization after ACL reconstruction is possible and does not cause any negative effects provided that the patient, doctor and physiotherapist cooperate very closely.

摘要

背景

本文旨在介绍一种在术后第一个月使用自体腘绳肌腱进行前交叉韧带重建术后的康复方案。该方案能使患者无需拐杖或稳定器辅助,尽早恢复日常活动(上学、久坐工作)。

材料与方法

该方案是根据瑞典卡罗林斯卡学院和美国谢尔伯恩教授诊所采用的康复方案制定的。研究组包括31名患者(18名男性和13名女性)。

结果

按照我们的方案在该科室接受康复治疗的患者步态模式稳定,能够在四到七周内上下楼梯。

结论

只要患者、医生和物理治疗师密切合作,前交叉韧带重建术后患者早期活动是可行的,且不会产生任何负面影响。

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