在关节镜解剖学侧侧关节带重建后,腿筋肌肉恢复
Héloïse Maréchal1, Mohamad Moussa2, Badr El Hariri2
1Department of Orthopaedic Surgery, Hospital Ambroise Paré, APHP, Boulogne-Billancourt, France.
概括
使用gracilis自移植的关节镜脚带重建显示,9个月后腿筋强度略有下降. 竞技运动员恢复腿筋力量比休运动员更好,遵循这个程序.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 用Gracilis自体移植进行关节镜解剖侧侧脚带重建是慢性侧侧脚不稳定的常见治疗方法.
- 虽然从前十字带重建中知道腿筋收获的发病率,但它对关节带重建后肌肉恢复的影响尚未研究.
研究的目的:
- 通过使用gracilis自移植进行关节镜解剖侧侧脚带重建后评估短期腿筋肌肉恢复.
- 使用异动力学测试来比较手术和逆侧肢体之间的腿筋强度和肌肉平衡.
主要方法:
- 在回归体育运动时,对患者进行了以60°/s的腿筋和四头肌强度的异动力学测试.
- 肢体对称指数 (LSI) 用于将手术肢体的强度与对侧肢体进行比较.
- 功能性跳跃测试和肌肉平衡比率也被评估,根据运动水平进行子组分析.
主要成果:
- 在手术后9个月,52%的患者表现出令人满意的腿筋恢复 (平均LSI92%),而83%的四头骨恢复令人满意 (平均LSI99.6%).
- 与休运动员相比,竞技运动员的腿筋强度损失显著减少,腿筋与四头肌比率更好.
- 功能测试表明短期影响单腿跳,一些患者报告恐惧或残留疼痛.
结论:
- 孤立的Gracilis肌收获用于脚带重建是安全的,导致只有适度的腿筋强度赤字在9个月.
- 运动参与水平会影响肌肉恢复,即使使用标准化康复方案.
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