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稳定膝关节部分半月板切除术后的本体感觉。

Proprioception following partial meniscectomy in stable knees.

机构信息

Trauma and Orthopaedics, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, UK.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2011 Feb;19(2):207-13. doi: 10.1007/s00167-010-1237-7. Epub 2010 Aug 26.

Abstract

PURPOSE

to investigate the proprioceptive function of patients with isolated meniscal tears of the knee before and after arthroscopic partial meniscectomy.

METHODS

one hundred subjects (50 patients who underwent a knee arthroscopy and 50 normal controls) were evaluated using single-leg dynamic postural stabilometry. All participants were assessed clinically and radiologically. Knee outcome scores were obtained for all subjects.

RESULTS

of the 50 patients arthroscoped, 34 were found to have meniscal tears. Twenty-nine of these patients were reassessed 3 months post-operatively. There was a significant proprioceptive deficit in subjects with meniscal tears when compared to their normal contra-lateral knee (P < 0.001) and the control group (P < 0.001). Partial meniscectomy resulted in a significant improvement in knee outcome scores but not proprioception measurements (n.s.).

CONCLUSION

patients with isolated meniscal tears were found to have a significant proprioceptive deficit which persisted following arthroscopic partial meniscectomy despite an otherwise successful clinical outcome.

摘要

目的

研究膝关节半月板撕裂患者在关节镜下半月板部分切除术前和术后的本体感觉功能。

方法

100 名受试者(50 名接受膝关节镜检查的患者和 50 名正常对照者)使用单腿动态姿势稳定计进行评估。所有参与者均进行了临床和影像学评估。所有受试者均获得膝关节结果评分。

结果

在接受关节镜检查的 50 名患者中,发现 34 名患者有半月板撕裂。其中 29 名患者在术后 3 个月进行了重新评估。与正常对侧膝关节(P < 0.001)和对照组(P < 0.001)相比,半月板撕裂患者的本体感觉存在明显缺陷。部分半月板切除术可显著改善膝关节结果评分,但对本体感觉测量无显著影响(无统计学意义)。

结论

尽管临床结果良好,但有孤立性半月板撕裂的患者在关节镜下半月板部分切除术后仍存在明显的本体感觉缺陷。

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