膝交叉韧带重建术后粘连关节镜松解和康复
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厦门大学附属成功医院暨陆军第 73 集团军医院骨科,福建厦门 361003

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章亚青,主管护师,研究方向:关节疾病的临床护理与康复,(电子信箱)1054372962@qq.com

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R687

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Arthroscopic release and progressive rehabilitation for knee ankylosis secondary to cruciate ligament reconstruction /
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Department of Orthopaedics, PLA 73rd Army Group Military Hospital (Xiamen University Affiliated Chenggong Hospital), Xiamen 361003 , Fuji⁃an, China

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    摘要:

    [目的]回顾分析交叉韧带重建术后膝关节粘连镜下松解与康复的效果。[方法]2020 年 1 月—2023 年 12 月本院镜下重建膝交叉韧带的 201 例患者,其中 16 例出现膝关节僵硬,均再次手术行关节镜下松解,术后在充分镇痛的基础上,给予持续被动活动 (continuous passive motion, CPM) 以及主动膝关节闭链和开链屈伸活动等递进康复锻炼。评估此 16 例患者的临床资料。[结果] 16 例患者均顺利完成关节镜下松解术,术中无医源性骨折等意外发生,手术时间 (60.5±10.5) min,术中出血量 (50.0±8.8) mL。随访 (15.0±3.5) 个月,随术前、术后 1 个月和末次随访的时间推移,膝 ROM [(102.0±1.2)°, (120.4± 4.4)°, (134.0±1.5)°, P<0.001]、VAS 评分 [(4.0±0.5), (3.6±0.6), (1.2± 0.2), P<0.001]、Lysholm 评分 [(43.0±1.6), (73.4±1.8), (88.3±1.9), P<0.001]、IKDC 评分 [(47.5±1.8), (69.3±2.0), (86.2±1.4), P<0.001] 和 KSS 评分 [(44.0±1.8), (73.7±1.8), (88.0±1.5), P<0.001] 均显著改善。[结论]镜下松解和术后递进康复锻炼可有效治疗膝关节粘连,取得满意功能恢复。

    Abstract:

    [Objective] To review the consequence of arthroscopic release and progressive rehabilitation for knee ankylosis secondary to cruciate ligament reconstruction. [Methods] From January 2020 to December 2023, 201 patients received arthroscopic knee cruciate ligament reconstruction in our hospital. Among them, 16 patients developed knee stiffness, underwent revision arthroscopic release, and progressive rehabilitation, involving continuous passive motion (CPM), active closed chain and open chain knee excises on the basis of adequate analgesia. The clinical data of the 16 patients were evaluated. [Results] All the 16 patients underwent arthroscopic release smoothly without iatrogenic fracture, whereas with operative time of (60.5±10.5) min and blood loss of (50.0±8.8) mL. As time elapsed preoperatively, 1 month postoperatively and last follow-up lasted for (15.0±3.5) months, the knee ROM [(102.0±1.2), (120.4±4.4), (134.0±1.5), P<0.001], VAS score [(4.0±0.5), (3.6±0.6), (1.2±0.2), P<0.001], Lysholm score [(43.0±1.6), (73.4±1.8), (88.3±1.9), P<0.001], IKDC scores [(47.5± 1.8), (69.3±2.0), (86.2±1.4), P<0.001] and KSS score [(44.0±1.8), (73.7±1.8), (88.0±1.5), P<0.001] were significantly improved. [Conclusion] Arthroscopic release and progressive rehabilitation exercise do effectively treat knee adhesion after cruciate ligament reconstruction and achieve satisfactory functional recovery.

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章亚青,傅仰攀,朱天昊,等. 膝交叉韧带重建术后粘连关节镜松解和康复[J]. 中国矫形外科杂志, 2025, 33 (12): 1145-1148. DOI:10.20184/j. cnki. Issn1005-8478.11088A.
ZHANG Ya-qing, FU Yang-pan, ZHU Tian-hao, et al. Arthroscopic release and progressive rehabilitation for knee ankylosis secondary to cruciate ligament reconstruction /[J]. Orthopedic Journal of China , 2025, 33 (12): 1145-1148. DOI:10.20184/j. cnki. Issn1005-8478.11088A.

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  • 收稿日期:2024-11-11
  • 最后修改日期:2025-02-18
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  • 在线发布日期: 2025-06-23
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