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关节过度活动对膝关节手术术后结果的影响。

INFLUENCE OF JOINT HIPERMOBILITY ON POSTOPERATIVE RESULTS OF KNEE SURGERY.

作者信息

Astur Diego Costa, Lara Paulo Henrique Schmidt, Santos Marcelo Abdulklech, Oliveira Gabriel Taniguti DE, Arliani Gustavo Gonçalves, Cohen Moisés

机构信息

. Center for Sports Traumatology, Department of Orthopedics and Traumatology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2018 Jan-Feb;26(1):19-21. doi: 10.1590/1413-785220182601174568.

DOI:10.1590/1413-785220182601174568
PMID:29977138
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6025503/
Abstract

OBJECTIVE

To evaluate the prevalence of joint hypermobility in patients undergoing knee surgery to treat traumatic injury to the meniscus and anterior cruciate ligament, and the influence of this hypermobility on postoperative results.

METHODS

This prospective study assessed joint hypermobility in patients who underwent surgical reconstruction of the anterior cruciate ligament (ACL), partial meniscectomy, or a procedure combining ACL reconstruction and partial meniscectomy during the period 2011-2015. The Beighton score was used to evaluate joint hypermobility and Tegner activity scale for postoperative assessment.

RESULTS

A total of 242 patients underwent surgery during the study period: 107 to treat ACL injuries, 75 to treat ACL injuries associated with meniscus injuries, and 60 to treat meniscus injuries. Of the total, 45 patients had joint hypermobility. We found no association between joint hypermobility and sex or type of injury. Postoperative Tegner scale results were not influenced by the presence of joint hypermobility.

CONCLUSION

No association was found between joint hypermobility and the evaluated variables (gender and type of specific injury), and hypermobility did not have a negative impact on postoperative outcomes.

摘要

目的

评估接受膝关节手术治疗半月板和前交叉韧带创伤性损伤患者的关节活动过度发生率,以及这种活动过度对术后结果的影响。

方法

这项前瞻性研究评估了2011年至2015年期间接受前交叉韧带(ACL)手术重建、部分半月板切除术或ACL重建与部分半月板切除术联合手术的患者的关节活动过度情况。采用贝顿评分评估关节活动过度,并使用特格纳活动量表进行术后评估。

结果

在研究期间,共有242例患者接受了手术:107例治疗ACL损伤,75例治疗与半月板损伤相关的ACL损伤,60例治疗半月板损伤。其中,45例患者有关节活动过度。我们发现关节活动过度与性别或损伤类型之间无关联。术后特格纳量表结果不受关节活动过度的影响。

结论

未发现关节活动过度与所评估变量(性别和特定损伤类型)之间存在关联,且活动过度对术后结果没有负面影响。

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Generalised joint hypermobility increases ACL injury risk and is associated with inferior outcome after ACL reconstruction: a systematic review.全身关节过度活动增加前交叉韧带损伤风险,并与前交叉韧带重建术后较差的预后相关:一项系统评价。
BMJ Open Sport Exerc Med. 2019 Nov 10;5(1):e000620. doi: 10.1136/bmjsem-2019-000620. eCollection 2019.

本文引用的文献

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Flexibility as a Predictor of Knee Injuries in College Football Players.柔韧性作为大学橄榄球运动员膝关节损伤的预测指标
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