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前交叉韧带重建中四头肌腱自体移植术后早期术后护理的意义:技术说明。

Implications for Early Postoperative Care After Quadriceps Tendon Autograft for Anterior Cruciate Ligament Reconstruction: A Technical Note.

机构信息

Department of Orthopaedics, School of Medicine, Emory University, Atlanta, GA.

Department of Orthopaedics and Physical Medicine, College of Medicine, Medical University of South Carolina, Charleston.

出版信息

J Athl Train. 2020 Jun 23;55(6):623-627. doi: 10.4085/1062-6050-172-19.

Abstract

The quadriceps tendon (QT) has become increasingly used by orthopaedic surgeons as an alternative autograft choice in anterior cruciate ligament reconstruction. As its use increases, athletic trainers and other rehabilitation clinicians will treat a greater number of patients with this autograft type. The recently developed, minimally invasive technique for harvest of the all-soft tissue autograft has many benefits, including versatility, decreased donor-site morbidity, and enhanced cosmesis. Early clinical trials revealed that the QT autograft resulted in decreased anterior knee pain and similar strength and functional outcomes to those of more common autograft types. From a rehabilitation perspective, many characteristics should be considered, such as the importance of early knee extension and quadriceps activation. Therefore, the purpose of this technical note is to expose athletic trainers to the QT autograft so that they may provide the best care for patients after anterior cruciate ligament reconstruction.

摘要

股四头肌腱(QT)已越来越多地被矫形外科医生用作前交叉韧带重建的替代自体移植物选择。随着其使用的增加,运动训练师和其他康复临床医生将治疗更多的此类自体移植物类型的患者。最近开发的微创技术用于采集全组织自体移植物具有许多优点,包括多功能性、减少供体部位发病率和改善美容效果。早期临床试验表明,QT 自体移植物可减少前膝疼痛,并且在强度和功能结果方面与更常见的自体移植物类型相似。从康复的角度来看,有许多特征需要考虑,例如早期膝关节伸展和股四头肌激活的重要性。因此,本技术说明的目的是让运动训练师了解 QT 自体移植物,以便他们可以在前交叉韧带重建后为患者提供最佳护理。

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