Neusel E, Maibaum S, Rompe G
Stiftung Orthopädische Universitätsklinik Heidelberg.
Aktuelle Traumatol. 1993 Jun;23(4):200-6.
35 patients with an arthroscopically confirmed isolated fresh anterior cruciate ligament rupture were subjected to follow-up examination after an average period of four years. In all the 35 patients a conservative treatment schedule had been followed post-arthroscopically, with a physiotherapy on a neurophysiological basis. Of the 35 isolated anterior cruciate ligament ruptures, 24 were complete and 11 partial ruptures. The follow-up examination results are based on subjective scores (O'Donoghue Score, Lysholm Score) and on one objective score (objective ODonaghue Score), as well as on the Lachman Test and the Pivot Shift Sign. In the partial anterior cruciate ligament ruptures we obtained mostly good to satisfactory results with the subjective and objective scores and a lower incidence of surgery; the original performance ratings at sports were largely maintained. On the other hand, the complete isolated anterior cruciate ligament ruptures yielded mainly satisfactory to poor results with the objective scores and a high rate of repeat surgery especially in the case of meniscus tears, and a major setback in the original sports performance ratings.
35例经关节镜证实为单纯新鲜前交叉韧带断裂的患者在平均四年的时间后接受了随访检查。在这35例患者中,关节镜检查后均遵循了保守治疗方案,采用基于神经生理学的物理治疗。在这35例单纯前交叉韧带断裂中,24例为完全断裂,11例为部分断裂。随访检查结果基于主观评分(奥多诺霍评分、莱肖尔姆评分)和一项客观评分(客观奥多诺霍评分),以及拉赫曼试验和轴移征。在部分前交叉韧带断裂中,主观和客观评分大多取得了良好至满意的结果,手术发生率较低;运动时的原始表现评分在很大程度上得以维持。另一方面,完全性单纯前交叉韧带断裂在客观评分方面主要产生了满意至较差的结果,尤其是在半月板撕裂的情况下再次手术率较高,并且在原始运动表现评分方面出现了重大挫折。