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[手术治疗膝关节韧带断裂的肌电图研究。对明确损伤模式的回顾性分析]

[Electromyography studies of surgically managed knee ligament ruptures. A retrospective analysis of defined injury patterns].

作者信息

Wening J V, Katzer A, Brockmann S, Möller H C, Eickhoff W, Jungbluth K H

机构信息

Abteilung für Unfall- und Wiederherstellungschirurgie, Universitätskrankenhauses Hamburg-Eppendorf.

出版信息

Unfallchirurgie. 1996 Feb;22(1):20-9. doi: 10.1007/BF02627458.

Abstract

In 52 patients (5 groups, average age 32.8 years) with operative treatment of knee ligament injuries cutaneous electromyograms (EMG) under dynamic and isometric conditions (100 N, 200 N, 300 N) were performed in an average of 61.2 weeks postoperatively. The subgroups consisted of 13 patients with operative reconstruction of the anterior cruciate ligament (ACL), 12 after reconstruction of the medial collateral ligament (MCL), 21 after combined ACL and MCL reconstruction and 6 patients with autologous or alloplastic ligament replacement, respectively. The control group consisted of seventeen young adults without a history of knee joint injuries. The intensified and filtered analogous signals of 8 investigated thigh muscles were digitalized and analysed with help of a specially developed computer program. In summary, group specific EMG-criteria reveal distinct ligamentomuscular inhibitory reflexes and, vice versa, EMG activities of thigh muscles may indicate tendencies for group specific criterion after operatively treated knee ligament injuries.

摘要

在52例(分为5组,平均年龄32.8岁)接受膝关节韧带损伤手术治疗的患者中,于术后平均61.2周时在动态和等长条件下(100牛、200牛、300牛)进行了皮肤肌电图(EMG)检查。亚组分别包括13例接受前交叉韧带(ACL)手术重建的患者、12例接受内侧副韧带(MCL)重建的患者、21例接受ACL和MCL联合重建的患者以及6例接受自体或异体韧带置换的患者。对照组由17名无膝关节损伤史的年轻成年人组成。对8块被研究大腿肌肉的增强和滤波后的类似信号进行数字化处理,并借助专门开发的计算机程序进行分析。总之,特定组的肌电图标准显示出明显的韧带 - 肌肉抑制反射,反之,大腿肌肉的肌电图活动可能表明膝关节韧带损伤手术治疗后特定组标准的倾向。

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