摘要
目的:前交叉韧带损伤是一种常见的膝关节运动创伤。前交叉韧带形态学特点、损伤机制、手术重建、损伤康复的运动疗法以及运动疗法的基本程序等方面对损伤修复和功能重建有直接的关系。资料来源:应用计算机检索NCBIEntrezPubmed和CNKI1974-022004-07间关于前交叉韧带相关文献,检索词:前交叉韧带损伤(injureofanteriorcruciateligament)。资料选择:对资料进行初审,纳入标准:①有关前交叉韧带的手术重建的时机、材料和方法等。②有关前交叉韧带损伤康复的运动疗法。排除标准:文献中有重复研究、综述、Meta分析类文章。未排除文章中资料是否应用了随机、对照和盲法。资料提炼:共收集57篇相关文献,36篇符合纳入标准,排除21篇文献,其中10篇系重复研究,5篇为综述,6篇为前交叉韧带损伤的检查方法。资料综合:28篇文献中,7篇文献讨论前交叉韧带的形态特点,6篇实验性文章分析前交叉韧带的损伤机制,9篇通过临床或动物实验,研究不同手术重建的时机、材料和方法等治疗前交叉韧带损伤,6篇文献报道前交叉韧带损伤后的运动治疗方法。结论:为实现前交叉韧带的功能重建,不同方法各有优缺点,关键是掌握好不同的适应症,提高治疗和康复效果,恢复患者膝关节功能。
OBJECTIVE： The injury of anterior cruciate ligament is one of the familiar athletic injuries. The morphological characteristics, injured mechanism, surgical reconstruction, exercise therapy of the rehabilitation and the basic procedure of the exercise therapy are directly associated with the repair of injury and functional reconstruction. DATA SOURCES： The literatures about the injuries of anterior cruciate ligament published between February 1974 and July 2004 were searched in National Center for Biotechnology Information （NCBI） Entrez Pubmed and China National Knowledge Infrastructure （CNKI） by using the keywords of “injures of anterior eruciate ligament”. STUDY SELECTION： The data were checked preliminarily. Inclusion criteria： ①about the time, material and methods of surgical reconstruction of anterior eruciate ligament; ②about the exercise therapy of anterior cruciate ligament. Exclusion criteria： repetitive study, reviews and Meta analysis. Whether there was randomized, control and blind methods in the articles were not excluded. DATA EXTRACTION： A total of 57 related articles were collected, 36 met the inclusion criteria. Of the 21 excluded articles, 10 were repetitive studies, 5 were reviews and 6 were the examining methods for the injury of anterior cruciate ligament. DATA SYNTHESIS： Of the 28 articles, 7 discussed the morphological characteristics of anterior cruciate ligament, 6 experimental articles analyzed the injured mechanism of anterior cruciate ligament, 9 studied the time, material and methods of different surgical reconstruction in treating the injury of anterior eruciale ligament through clinical or animal experiments, and 6 reported the method of exercise therapy following the injury of anterior cruciate ligament. CONCLUSION： There are some advantages and shortcomings of all the methods to achieve the functional reconstruction of anterior cruciate ligament. It is very important to master different adaptability so as to improve the remedial and rehabilitative effects and promote the recovery of the patients’ knee joint function.
出处
《中国临床康复》
CSCD
北大核心
2005年第24期178-180,共3页
Chinese Journal of Clinical Rehabilitation
