CAJ | 학술논문

将2007年1月至2009年9月因膝关节前交叉韧带(ACL)损伤行关节镜自体移植物重建术后的74例,按随机数字法随机分为康复组(41例)及对照组(33例),康复组术后第一天即开始训练,分五阶段进行康复；对照组术后石膏外固定4～6周,随后配戴支具进行被动和主动膝关节屈伸功能训练.两组术后12个月时的膝关节功能Lysholm评分[(93.8±2.7)与(80.0±7.6)分],均优于术后3个月[(81.8±4.2)与(75.2±4.2)分](t=2.85,P＜0.01；t=2.16,P＜0.05)；而康复组术后3、6和12个月时的膝关节功能均优于对照组(t值分别为6.71、5.30和9.80,均P＜0.01).ACL损伤者重建术后行早期、规范的康复训练,更利于膝关节的功能恢复.
장2007년1월지2009년9월인슬관절전교차인대(ACL)손상행관절경자체이식물중건술후적74례,안수궤수자법수궤분위강복조(41례)급대조조(33례),강복조술후제일천즉개시훈련,분오계단진행강복；대조조술후석고외고정4～6주,수후배대지구진행피동화주동슬관절굴신공능훈련.량조술후12개월시적슬관절공능Lysholm평분[(93.8±2.7)여(80.0±7.6)분],균우우술후3개월[(81.8±4.2)여(75.2±4.2)분](t=2.85,P＜0.01；t=2.16,P＜0.05)；이강복조술후3、6화12개월시적슬관절공능균우우대조조(t치분별위6.71、5.30화9.80,균P＜0.01).ACL손상자중건술후행조기、규범적강복훈련,경리우슬관절적공능회복.
A total of 74 patients undergoing arthroscopic reconstruction for anterior cruciate ligament (ACL) injury from January 2007 to September 2009 were randomly divided into the treatment and control groups.The treated patients started training at day 1 post-operation while the controls had initial external plaster fixation for 4 - 6 weeks followed by supporting devices with active and passive functional exercises of knee flexion and extension.All Lysholm scores in two groups were better at Month 12 than those at Month 3 [(93.8±2.7)vs.(81.8±4.2),(80.0±7.6) vs.(75.2±4.2); t=2.85,P＜0.0l,t=2.16,P＜0.05,respectively].The scores in the treatment group achieved better curative effects than those in the control group at Months 3,6 and 12 (P ＜0.01 ) ; Early and standard rehabilitation training for the patients with ACL injury of knee after reconstruction will facilitate the recovery of knee joint fumction.