Majors R A, Woodfin B
Charlotte Orthopedic Specialists, Charlotte Sports Medicine Center, NC 28207, USA.
Am J Sports Med. 1996 May-Jun;24(3):350-5. doi: 10.1177/036354659602400317.
A review of 119 consecutive anterior cruciate ligament reconstructions showed that the time from injury to surgery (early versus delayed) did not make a difference in obtaining full range of motion. Only patients with late surgery had a slight decrease in range of motion. Followup data were obtained for 111 reconstructions. Twenty-one were early surgeries (1 to 14 days), 22 were delayed surgeries (15 to 28 days), and 68 were late surgeries (more than 28 days). The patients involved in the 21 early surgeries obtained 0 degree of knee extension or better and 135 degrees of knee flexion or better. The patients involved in the 22 delayed reconstructions reached 0 degree of knee extension or better and 135 degrees of flexion or better. Among the patients with the 68 late surgeries, 93% of the knees reached 0 degree of extension or better and all reached at least 135 degrees of flexion. The five patients who did not achieve full knee extension had extension loses less than 4 degrees. All 111 reconstructions were determined stable when full range of motion was achieved based on clinical examination, which included the Lachman test, anterior drawer test, pivot shift, and KT-1000 arthrometer when appropriate.
对119例连续的前交叉韧带重建手术进行回顾发现，从受伤到手术的时间（早期与延迟）在获得全范围活动度方面并无差异。只有手术较晚的患者活动度略有下降。对111例重建手术获取了随访数据。其中21例为早期手术（1至14天），22例为延迟手术（15至28天），68例为晚期手术（超过28天）。参与21例早期手术的患者膝关节伸展达到0度或更好，膝关节屈曲达到135度或更好。参与22例延迟重建手术的患者膝关节伸展达到0度或更好，屈曲达到135度或更好。在68例晚期手术的患者中，93%的膝关节伸展达到0度或更好，所有患者至少达到135度的屈曲。5例未实现膝关节完全伸展的患者伸展丧失小于4度。根据临床检查，包括Lachman试验、前抽屉试验、轴移试验以及必要时的KT - 1000关节测量仪，当达到全范围活动度时，所有111例重建手术均确定为稳定。
