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术前预康复对训练伤致前交叉韧带重建术后功能恢复的影响

李思桐 赵业如 孙乙鹏 李宝 李阳 张文婷 刘欣伟 于海龙

中国医学前沿杂志(电子版)2025,Vol.17Issue(11):59-63,5.
中国医学前沿杂志(电子版)2025,Vol.17Issue(11):59-63,5.DOI:10.12037/YXQY.2025.11-08

术前预康复对训练伤致前交叉韧带重建术后功能恢复的影响

The Impact of preoperative rehabilitation in the treatment of anterior cruciate ligament injury caused by training

李思桐 1赵业如 2孙乙鹏 2李宝 1李阳 3张文婷 2刘欣伟 1于海龙1

作者信息

  • 1. 北部战区总医院骨科,辽宁 沈阳 110016
  • 2. 大连康复疗养中心康复科,辽宁 大连 116000
  • 3. 北部战区总医院康复科,辽宁 沈阳 110016
  • 折叠

摘要

Abstract

Objective To investigate the clinical efficacy of preoperative rehabilitation on postoperative functional recovery in patients with anterior cruciate ligament(ACL)injuries caused by training-related trauma undergoing ACL reconstruction.Methods A total of 63 patients with ACL injuries confirmed to have surgical indications through by imaging and physical examination,treated at Northern Theater Command General Hospital between January 2023 and June 2024,were enrolled.Participants were divided into a prehabilitation group(n=32,underwent 2 weeks of preoperative rehabilitation)and a conventional group(n=31,received standard preoperative care).Outcomes included preoperative and postoperative(3 months)Visual Analogue Scale(VAS)scores,International Knee Documentation Committee(IKDC)scores,Tegner activity level scores,Lysholm knee scores,and adverse events.Results All patients were followed up for 3-15(7.3±2.9)months.Postoperative outcomes improved significantly compared to preoperative values in both groups(P<0.05).The prehabilitation group exhibited higher postoperative IKDC scores(76.56±5.45 vs.70.25±6.57)and Lysholm scores(78.15±6.58 vs.70.80±10.07)than the conventional group(P<0.05),whereas no significant differences were observed in VAS or Tegner scores(P>0.05).No severe adverse events(e.g.,infection,thrombosis)occurred in either group(P>0.05).Conclusions Pre-operative prehabilitation significantly enhances knee function after ACL reconstruction in training-injury patients,facilitates return to duty,and is safe.

关键词

康复/运动医学/膝关节/前交叉韧带

Key words

Rehabilitation/Sports medicine/Knee joint/Anterior cruciate ligament

引用本文复制引用

李思桐,赵业如,孙乙鹏,李宝,李阳,张文婷,刘欣伟,于海龙..术前预康复对训练伤致前交叉韧带重建术后功能恢复的影响[J].中国医学前沿杂志(电子版),2025,17(11):59-63,5.

基金项目

Liaoning Province Science and Technology Program Joint Project(Technology Research and Development Project)(2024JH2/102600270) 辽宁省科技计划联合计划(技术攻关计划项目)(2024JH2/102600270) (Technology Research and Development Project)

中国医学前沿杂志(电子版)

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