Klinger D, Rosemeyer B
Staatliche orthopädische Klinik München.
Sportverletz Sportschaden. 1990 Dec;4(4):163-8. doi: 10.1055/s-2007-993616.
Post-operative checks of 57 cases of anterio-medial knee instability (II and III degree) were carried out over a period of 1-4 years after operation. On a questionnaire subjective feelings, complaints, and changes in living and sport habits, were documented. Thus a parameter for the functional result of treatment was created. Knee stability was evaluated by measurement of 30 degree anterior drawer displacement using the Medmetric corp. ligament measuring instrument KT1000. Strength of the thigh muscles of both legs for different power parameters under isokinetic load was measured with the Cybex II instrument system. In 51 cases a correlation between the movement deficit and the following parameters was assumed and tested by comparing the mean values in a T-test: side comparison of the anterior drawer phenomenon, power parameters of the thigh muscles for knee extension and flexion, score for the functional result. In case of extension deficit of the knee, it could be shown that the tension of the reconstructed crucial ligaments, which is expressed in the measured value of the anterior drawer displacement, is not as important from a causal point of view as has been supposed. Extension deficit had no obvious negative effects on the power development of the thigh muscle. However, movement restriction caused significant negative effects on functional result-score.
对57例膝前内侧不稳定(II度和III度)患者在术后1至4年期间进行了术后检查。通过问卷调查记录了主观感受、主诉以及生活和运动习惯的变化。由此创建了一个治疗功能结果的参数。使用Medmetric公司的韧带测量仪KT1000测量30度前抽屉移位来评估膝关节稳定性。使用Cybex II仪器系统测量双腿大腿肌肉在等速负荷下不同功率参数的力量。在51例病例中,通过T检验比较平均值,假设并测试了运动缺陷与以下参数之间的相关性:前抽屉现象的双侧比较、膝关节屈伸时大腿肌肉的功率参数、功能结果评分。对于膝关节伸展不足的情况,可以表明,从前抽屉移位测量值所体现的重建关键韧带的张力,从因果关系的角度来看,并不像人们所认为的那么重要。伸展不足对大腿肌肉的力量发展没有明显的负面影响。然而,运动受限对功能结果评分有显著的负面影响。