Rougraff B T, Reeck C C, Essenmacher J
Indiana University Hospitals, Indianapolis 46202-5111, USA.
Orthopedics. 1996 Jun;19(6):509-14.
Forty-four patients with 53 quadriceps tendon ruptures were studied retrospectively with an average follow up of 67.2 months (range: 24 to 155). The type of repair was not associated with differences in functional outcome, patient satisfaction, range of motion, or isokinetic testing. Patients with a delay in surgical treatment in comparison to those immediately repaired had significantly worse functional results (P < .05), lower satisfaction scores (P < .05), and lower isokinetic data for both the injured and uninjured extremities, however, their range of motion and comparative extensor power results were nearly identical. On reviewing all patients, the ultimate range of motion was within an average of 2 degrees of the uninjured side in nearly all patients. Based on the results of this study, all surgical methods can be expected to give comparable results as long as treatment is begun within 1 week of the injury. Regaining range of motion comparable to the uninjured side was not a problem in this series despite a delay in treatment.
对44例患有53处股四头肌肌腱断裂的患者进行了回顾性研究,平均随访67.2个月(范围:24至155个月)。修复类型与功能结果、患者满意度、活动范围或等速测试的差异无关。与立即修复的患者相比,手术治疗延迟的患者功能结果明显更差(P < 0.05),满意度得分更低(P < 0.05),受伤和未受伤肢体的等速数据也更低,然而,他们的活动范围和相对伸肌力量结果几乎相同。在对所有患者进行复查时,几乎所有患者的最终活动范围与未受伤侧平均相差2度以内。根据本研究结果,只要在受伤后1周内开始治疗,所有手术方法都有望取得可比的结果。尽管治疗延迟,但在本系列中恢复与未受伤侧相当的活动范围并非问题。