摘要
[目的]评价膝多发韧带损伤(multi-ligamentous knee injuries,MLKI)一期修复重建术后个性阶段化康复的临床结果。[方法]回顾性分析2016年1月—2023年12月本院骨科收治的20例MLKI患者,均给予一期手术修复重建,并给予个性阶段化康复,评估患者临床资料。[结果]所有患者均顺利手术,20例患者中,10例为ACL/PCL/MCL联合损伤;6例为ACL/PCL/PLC联合损伤;3例为ACL/MCL联合损伤,1例为PCL/PLC损伤。行ACL修补1例,ACL重建18例;PCL修补1例,PCL重建者16例;PMC修补者11例,PMC重建者2例;PLC修补1例,PLC重建6例。随术前、术后1个月和末次随访的时间推移,膝ROM[(76.0±2.6)°,(79.2±2.2)°,(130.0±2.5)°,P<0.001]、VAS评分[(5.0±0.5),(4.2±0.4),(1.1±0.2),P<0.001]、Lysholm评分[(38.0±1.8),(42.0±2.3),(87.2±2.9),P<0.001]、IKDC评分[(42.2±1.9),(45.3±2.4),(87.4±1.8),P<0.001]和KSS评分[(40.0±1.9),(43.3±1.7),(87.0±1.8),P<0.001]均显著改善。随访过程中,所有患者均无翻修手术。[结论]多发韧带损伤一期修复重建术后,根据患者实际情况采取个性阶段化的康复可有效提升患者术后康复效果,减少术后膝关节功能障碍的发生。
[Objective]To evaluate the clinical outcome of individualized phased rehabilitation for one-stage repair and reconstruction of multi-ligamentous knee injuries(MLKI).[Methods]A retrospective study was performed on 20 patients who admitted into our department for MLKI from January 2016 to December 2023.All of whom received one-stage surgical repair and reconstruction,followed by personalized phased rehabilitation.The clinical data of the patients were evaluated.[Results]All patients were operated on successfully.Among 20 patients,10 patients were of ACL/PCL/MCL combined injuries,6 of ACL/PCL/PLC combined injuries,3 of ACL/MCL combined injuries and 1 of PCL/PLC injuries.Regarding surgical treatment,ACL repair was performed in 1 case,ACL reconstruction in 18,PCL repair in 1,PCL reconstruction in 16,PMC repair in 11,PMC reconstruction in 2,PLC repair in 1 and PLC reconstruction in 6 cases.As time elapsed preoperatively,1 month after operation and the last follow-up,knee ROM[(76.0±2.6)°,(79.2±2.2)°,(130.0±2.5)°,P<0.001],VAS score[(5.0±0.5),(4.2±0.4),(1.1±0.2),P<0.001],Lysholm score[(38.0±1.8),(42.0±2.3),(87.2±2.9),P<0.001],IKDC scores[(42.2±1.9),(45.3±2.4),(87.4±1.8),P<0.001]and KSS score[(40.0±1.9),(43.3±1.7),(87.0±1.8),P<0.001]were significantly improved.During the followup,none of the patients had revision surgery.[Conclusion]After the onestage repair and reconstruction of MLKI,individualized stage rehabilitation according to the actual situation of patients does effectively improve the consequence and reduce the occurrence of postoperative knee dysfunction.
作者
张雅真
章亚青
傅仰攀
万小梅
朱莎
黄长明
ZHANG Ya-zhen;ZHANG Ya-qing;FU Yang-pan;WAN Xiao-mei;ZHU Sha;HUANG Chang-ming(Department of Orthopedics,PLA 73rd ArmyHospital(Chenggong Hospital,Xiamen University),Xiamen 361003,Fujian,China)
出处
《中国矫形外科杂志》
北大核心
2025年第12期1149-1152,共4页
Orthopedic Journal of China
关键词
膝关节
多发韧带损伤
膝不稳定
个性阶段化康复
knee
multiple ligament injury
knee instability
individualized phased rehabilitation
