Tegner Y, Lysholm J
Arthroscopy. 1985;1(4):264-7. doi: 10.1016/s0749-8063(85)80095-5.
In this article we have tested a ready-made brace to evaluate whether it could improve function in the anterior cruciate ligament injured patient. All patients had their full extent of injury mapped out at arthroscopy. We believe that arthroscopy before treatment for a torn anterior cruciate ligament injury is necessary in order to treat meniscus lesions that could interfere with the rehabilitation. In this study, 26 patients were unstable with a positive pivot-shift, and 16 patients were operated on and thus stable. All patients performed a performance test with and without the brace in a randomized order. Before the start of the investigation, we postulated that patients with a quadriceps atrophy who were unstable would improve their function with the derotation brace. We could not find any effects of the brace in this study. The brace did not significantly improve function in the group of patients who were unstable with a quadriceps atrophy. On the other hand, the brace did not impair function in the patients. We conclude that to be able to improve knee function in the unstable knee, other modes of treatment than bracing are necessary. Bracing should be seen as a complement to these other treatments.
在本文中，我们测试了一种成品支具，以评估其是否能改善前交叉韧带损伤患者的功能。所有患者在关节镜检查时都明确了损伤的全部范围。我们认为，在治疗前交叉韧带撕裂伤之前进行关节镜检查对于治疗可能干扰康复的半月板损伤是必要的。在本研究中，26例患者存在不稳定且轴移试验阳性，16例患者接受了手术治疗，因此病情稳定。所有患者均以随机顺序在佩戴和不佩戴支具的情况下进行了性能测试。在研究开始前，我们推测股四头肌萎缩且不稳定的患者使用旋转控制支具后功能会得到改善。在本研究中，我们未发现支具的任何效果。该支具在股四头肌萎缩且不稳定的患者组中并未显著改善功能。另一方面，该支具也未损害患者的功能。我们得出结论，为了改善不稳定膝关节的功能，除了使用支具外，还需要其他治疗方式。支具应被视为这些其他治疗的补充。
