Relationship between tunnel widening and different rehabilitation procedures after ACL reconstruction with quadrupled hamstring tendons / 中华外科杂志
Chinese Journal of Surgery
; (12): 984-988, 2004.
Article
em Zh
| WPRIM
| ID: wpr-360972
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To find out the relationship between different rehabilitation procedures and the tibial tunnel widening after ACL reconstruction.</p><p><b>METHODS</b>Sixty-five patients undergone ACL reconstructions by using quadrupled semitendinosus and gracilis tendons were divided into two groups. Group A had 33 patients, 19 male, 14 female, average age (31.2 +/- 12.4) years, only ACL reconstruction was performed with Germanic Professor Paessler's technique, and aggressive rehabilitation procedure was used for functional recovery. Group B had 32 patients, 20 male, 12 female, average age (30.3 +/- 10.3) years. Besides ACL reconstruction, every patient in Group B accepted meniscus repair or cartilage repair with microfracture technique, then postoperative conservative rehabilitation procedure was used. Six months after operation, standard posterior-anterior radiographic plates were taken for each patient, CorelDRAW 8.0 software was used to digitize all X-ray plates and measure the upper, middle and lower parts of the tibial tunnel. Magnification of X-ray plates was taken out after measurement. Statistic analysis was done by t-test.</p><p><b>RESULTS</b>Six months after ACL reconstruction, on both the posterior-anterior and lateral X-ray plates the tibial tunnel widening of the upper, middle and lower parts in Group B with aggressive rehabilitation procedure was significantly serious than in Group A with conservative rehabilitation.</p><p><b>CONCLUSIONS</b>Rehabilitation procedure after ACL reconstruction is one of the reasons for tunnel widening. It perhaps influences the functional recovery and long-term clinical result of the operated knee by affecting the tunnel widening.</p>
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Base de dados:
WPRIM
Assunto principal:
Reabilitação
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Cirurgia Geral
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Tendões
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Transplante
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Transplante Autólogo
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Estudos Retrospectivos
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Ligamento Cruzado Anterior
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Procedimentos de Cirurgia Plástica
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Lesões do Ligamento Cruzado Anterior
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Instabilidade Articular
Tipo de estudo:
Observational_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2004
Tipo de documento:
Article