McIntyre Victoria, Hopper Graeme P, Mackay Gordon M
Directorate of Sport, Exercise and Physiotherapy, University of Salford, Salford, England.
College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, Scotland.
Surg Technol Int. 2019 Nov 10;35:341-348.
Anterior cruciate ligament (ACL) reconstruction with hamstring or patellar tendon autograft has been the gold standard for the operative treatment of an ACL rupture for many years. Repair with Internal Brace Ligament Augmentation (IBLA) is a new technique that uses ultra-high strength tape (FiberTape, Arthrex, Naples, FL, USA) to bridge the ligament. This technique reinforces the ligament as a secondary stabiliser, encouraging natural healing of the ligament by protecting it during the healing phase and supporting early mobilisation.
This retrospective case report focuses on the rehabilitation of a 21-year-old male professional soccer player who ruptured his ACL in a contact injury whilst playing a competitive game. He underwent ACL repair with IBLA two weeks following injury. The six-month rehabilitation programme consisted of gradual progressions for mobility, proprioception, strengthening, cardiovascular maintenance and running in conjunction with physiotherapy to assist with the maintenance of soft tissue quality, pain management and control of oedema.
After completing the rehabilitation programme, the patient returned to unrestricted sporting activity within six months. At 18-month follow-up, the patient continues to play at the same competitive level without any issues.
This rehabilitation programme after ACL repair with IBLA successfully enabled a professional soccer player to return to his pre-injury playing level.
多年来,采用腘绳肌或髌腱自体移植进行前交叉韧带(ACL)重建一直是ACL断裂手术治疗的金标准。使用内部支撑韧带增强术(IBLA)进行修复是一种新技术,它使用超高强度胶带(美国佛罗里达州那不勒斯市Arthrex公司的FiberTape)来桥接韧带。该技术作为二级稳定器增强韧带,在愈合阶段保护韧带并支持早期活动,从而促进韧带的自然愈合。
本回顾性病例报告聚焦于一名21岁男性职业足球运动员的康复情况,他在一场竞技比赛中因接触性损伤导致ACL断裂。受伤两周后,他接受了IBLA ACL修复手术。为期六个月的康复计划包括在物理治疗的配合下,逐步进行活动度、本体感觉、力量训练、心血管功能维持和跑步训练,以协助维持软组织质量、控制疼痛和水肿。
完成康复计划后,患者在六个月内恢复了无限制的体育活动。在18个月的随访中,患者继续在相同的竞技水平上比赛,没有任何问题。
这项针对IBLA ACL修复术后的康复计划成功使一名职业足球运动员恢复到受伤前的比赛水平。