Article(id=1242140800608448855, tenantId=1146029695717560320, journalId=1146031591421210625, issueId=1242140779540459765, articleNumber=null, orderNo=11, doi=10.3981/j.issn.1000-7857.2023.23.009, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1676304000000, receivedDateStr=2023-02-14, revisedDate=1689696000000, revisedDateStr=2023-07-19, acceptedDate=null, acceptedDateStr=null, onlineDate=1703135615557, onlineDateStr=2023-12-21, pubDate=1702396800000, pubDateStr=2023-12-13, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1703135615557, onlineIssueDateStr=2023-12-21, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1774079044723, creator=sys-migrate, updateTime=1774079044723, updator=sys-migrate, issue=Issue{id=1242140779540459765, tenantId=1146029695717560320, journalId=1146031591421210625, year='2023', volume='41', issue='23', pageStart='1', pageEnd='112', issueExtLink='null', onlineDate='null', pubDate='1702396800000', pubDateStr='2023-12-13', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=3, issueType=-1, specialIssue=null, createTime=1774079039699, creator='sys-migrate', updateTime=1774079039699, updator='sys-migrate', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=64, endPage=71, ext={EN=ArticleExt(id=1242140805859717503, articleId=1242140800608448855, tenantId=1146029695717560320, journalId=1146031591421210625, language=EN, title=Rehabilitation evaluation and prognostic analysis of arthroscopic suture bridge fixation for posterior cruciate ligament avulsion fractures, columnId=1242140791943016734, journalTitle=Science & Technology Review, columnName=Exclusive: Era Development in Rehabilitation Medicine and Chinese Strategies, runingTitle=null, highlight=null, articleAbstract=Postoperative complications, such as knee instability and limited range of motion (ROM), always happen during the rehabilitation period of posterior cruciate ligament avulsion fracture (PCLAF), making poor prognosis. Arthroscopic double row anchor suture bridge fixation is a new technology for PCLAF. This study aims to clarify the safety, efficacy, and functional prognosis of suture bridge fixation for treating acute PCLAF. The posterior drawer test (PDT) and posterior displacement distance were performed and measured to evaluate the stability of the knee joint, with other parameters including knee ROM, as well as IKDC, Lysholm scores, and rate of returning to sports for evaluating the prognosis. The results showed that the bone healing process was good at 3 months after surgery and the positive rate of PDT, degree of displacement, ROM, Lysholm, and IKDC scores were recovered well at both 1 and 1.5 years after surgery, without intergroup difference. However, the rate of returning to sports at 1.5 years after surgery was significantly higher than the rate at 1 year after surgery. The present study indicates that acute PCLAF patients can obtain good bone healing progress and smooth post-operative rehabilitation by arthroscopic suture bridge fixation, and that the joint function can be restored within 1 year after surgery and 76.5% of the patients can return to physical exercise in 1.5 years, suggesting a good prognosis., authors=YANG Shulong1 , REN Xiangyu1 , LIU Zhe1 , WANG Tianda1 , ZHANG Teng1 , LI Haoxin1 , QI Yansong2,3* , ZHANG Zhong1,3* , authorsList=YANG Shulong, REN Xiangyu, LIU Zhe, WANG Tianda, ZHANG Teng, LI Haoxin, QI Yansong, ZHANG Zhong, authorCompany=1. Department of Sports Medicine, Wuhai People's Hospital, Wuhai 016000, China
2. Orthopedic Center, Inner Mongolia People's Hospital, Hohhot 010017, China
3. "Doctor Training Project of Chinese Medical Association—Chinese Exercise Rehabilitation Medical Education" Inner Mongolia Training Center, Hohhot 010017, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=PE6e2GKblh8+ornsQKDqPQ==, pdfFileSize=1116430, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1242140804614009195, articleId=1242140800608448855, tenantId=1146029695717560320, journalId=1146031591421210625, language=CN, title=后交叉韧带撕脱骨折行关节镜下缝合桥固定术的康复评定及预后分析, columnId=1242140790793777430, journalTitle=科技导报, columnName=专题:康复医学的时代发展与中国策略, runingTitle=null, highlight=null, articleAbstract=后交叉韧带撕脱骨折(PCLAF)的术后康复期易发生膝关节不稳定、活动受限等并发症,预后不佳,关节镜下双排锚钉缝合桥固定术是治疗PCLAF的新型技术。以PCLAF患者为对象,旨在明确急性期行双排锚钉缝合桥PCLAF固定术的安全性、疗效及功能预后。利用后抽屉试验(PDT)、后移距离评估膝关节后向稳定性,检测膝关节活动度(ROM),采用国际膝关节文献委员会(IKDC)评分、Lysholm评分及重返运动率评价患者的预后。康复评定结果显示,术后3个月CT示骨质愈合良好,术后1年与1.5年的PDT阳性率、后移程度、ROM、Lysholm、IKDC评分较术前均恢复良好,且未见差异,但术后1.5年的重返运动率显著高于术后1年。说明PCLAF患者在急性期行关节镜下双排锚钉缝合桥手术的骨质愈合好,康复进展顺利,术后1年即可恢复膝关节功能,预后佳,术后1.5年时76.5%的患者已重返体育运动。, authors=杨树龙1 ,任向宇1 ,刘哲1 ,王天达1 ,张腾1 ,李昊鑫1 ,齐岩松2,3* ,张忠1,3* , authorsList=杨树龙,任向宇,刘哲,王天达,张腾,李昊鑫,齐岩松,张忠, authorCompany=1. 乌海市人民医院运动医学科,乌海 016000
2. 内蒙古自治区人民医院骨科中心,呼和浩特 010017
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科技导报
| 专题:康复医学的时代发展与中国策略 2023, 41(23): 64-71
后交叉韧带撕脱骨折行关节镜下缝合桥固定术的康复评定及预后分析
全屏
杨树龙1 ,任向宇1 ,刘哲1 ,王天达1 ,张腾1 ,李昊鑫1 ,齐岩松2,3* ,张忠1,3*
作者信息
1. 乌海市人民医院运动医学科,乌海 016000
2. 内蒙古自治区人民医院骨科中心,呼和浩特 010017
3.“中华医学会医师培训工程—中华运动康复医学培训工程”内蒙古培训中心,呼和浩特 010017
通讯作者:
齐岩松(共同通信作者),副主任医师,副研究员,研究方向为运动医学临床与基础,电子信箱:malaqinfu@126.com;张忠(通信作者),主任医师,研究方向为运动医学及运动康复,电子信箱:15771318822@163.com
Rehabilitation evaluation and prognostic analysis of arthroscopic suture bridge fixation for posterior cruciate ligament avulsion fractures
Affiliations
出版时间: 2023-12-13
doi: 10.3981/j.issn.1000-7857.2023.23.009
文章导航
后交叉韧带撕脱骨折(PCLAF)的术后康复期易发生膝关节不稳定、活动受限等并发症,预后不佳,关节镜下双排锚钉缝合桥固定术是治疗PCLAF的新型技术。以PCLAF患者为对象,旨在明确急性期行双排锚钉缝合桥PCLAF固定术的安全性、疗效及功能预后。利用后抽屉试验(PDT)、后移距离评估膝关节后向稳定性,检测膝关节活动度(ROM),采用国际膝关节文献委员会(IKDC)评分、Lysholm评分及重返运动率评价患者的预后。康复评定结果显示,术后3个月CT示骨质愈合良好,术后1年与1.5年的PDT阳性率、后移程度、ROM、Lysholm、IKDC评分较术前均恢复良好,且未见差异,但术后1.5年的重返运动率显著高于术后1年。说明PCLAF患者在急性期行关节镜下双排锚钉缝合桥手术的骨质愈合好,康复进展顺利,术后1年即可恢复膝关节功能,预后佳,术后1.5年时76.5%的患者已重返体育运动。
康复评定
/
双排锚钉缝合桥技术
/
后交叉韧带撕脱骨折
/
骨质愈合
/
膝关节后向稳定性
/
膝关节活动度
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重返运动
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功能预后
Postoperative complications, such as knee instability and limited range of motion (ROM), always happen during the rehabilitation period of posterior cruciate ligament avulsion fracture (PCLAF), making poor prognosis. Arthroscopic double row anchor suture bridge fixation is a new technology for PCLAF. This study aims to clarify the safety, efficacy, and functional prognosis of suture bridge fixation for treating acute PCLAF. The posterior drawer test (PDT) and posterior displacement distance were performed and measured to evaluate the stability of the knee joint, with other parameters including knee ROM, as well as IKDC, Lysholm scores, and rate of returning to sports for evaluating the prognosis. The results showed that the bone healing process was good at 3 months after surgery and the positive rate of PDT, degree of displacement, ROM, Lysholm, and IKDC scores were recovered well at both 1 and 1.5 years after surgery, without intergroup difference. However, the rate of returning to sports at 1.5 years after surgery was significantly higher than the rate at 1 year after surgery. The present study indicates that acute PCLAF patients can obtain good bone healing progress and smooth post-operative rehabilitation by arthroscopic suture bridge fixation, and that the joint function can be restored within 1 year after surgery and 76.5% of the patients can return to physical exercise in 1.5 years, suggesting a good prognosis.
rehabilitation assessment
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double row anchor suture bridge fixationt
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posterior cruciate ligament avulsion fracture
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bone healing
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knee posterior stability
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knee range of motion
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return to sports
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functional prognosis
杨树龙,任向宇,刘哲,王天达,张腾,李昊鑫,齐岩松,张忠.
后交叉韧带撕脱骨折行关节镜下缝合桥固定术的康复评定及预后分析.
科技导报,
2023
, 41
(23)
: 64
-71
.
DOI: 10.3981/j.issn.1000-7857.2023.23.009
YANG Shulong, REN Xiangyu, LIU Zhe, WANG Tianda, ZHANG Teng, LI Haoxin, QI Yansong, ZHANG Zhong.
Rehabilitation evaluation and prognostic analysis of arthroscopic suture bridge fixation for posterior cruciate ligament avulsion fractures[J].
Science & Technology Review ,
2023
, 41
(23)
: 64
-71
.
DOI: 10.3981/j.issn.1000-7857.2023.23.009
2023年第41卷第23期
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文章信息
doi: 10.3981/j.issn.1000-7857.2023.23.009
接收时间:2023-02-14
首发时间:2023-12-21
出版时间:2023-12-13
收稿日期:2023-02-14
修回日期:2023-07-19
通讯作者:
齐岩松(共同通信作者),副主任医师,副研究员,研究方向为运动医学临床与基础,电子信箱:malaqinfu@126.com;张忠(通信作者),主任医师,研究方向为运动医学及运动康复,电子信箱:15771318822@163.com
https://castjournals.cast.org.cn/joweb/kjdb/CN/10.3981/j.issn.1000-7857.2023.23.009
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2种不同金属材料的力学参数
科 Family 属数 Number of genus 种数 Number of species 占总种数比例 Percentage of total species (%) 属 Genus 种数 Number of species 占总种数比例 Percentage of total species (%) 鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78 小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39 多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39 红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87 小菇属 Mycena 11 5.26 光柄菇属 Pluteus 5 2.39 红菇属 Russula 17 8.13 栓菌属 Trametes 5 2.39
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