Weimin Zhu1, Daping Wang, Yun Han, Na Zhang, Yanjun Zeng. 1. Department of Sports Medical, Shenzhen Second People Hospital, Sungang West Road, Futian District, Shenzhen, 518000, People's Republic of China.
Abstract
OBJECTIVE: To compare the effects of the three rehabilitation procedures following anterior cruciate ligament (ACL) autograft reconstruction with hamstring tendons. DESIGN: An observational and retrospective case-controlled series. SETTING: The Department of Sports Medicine, Shenzhen Second People Hospital, Shenzhen, PR China. PATIENTS OR PARTICIPANTS: Forty-five patients who were made to undergo ACL reconstructions by using quadrupled semitendinosus and gracilis tendons were divided into three groups: accelerated rehabilitation procedures group, aggressive rehabilitation procedures group, and self-made rehabilitation procedures group. MAIN OUTCOME MEASURES: The knee range of motion, thigh perimeter, IKDC score, and bone tunnel diameter in 3D-CT films were evaluated 3 and 6 months and 1 year later. RESULTS: The knee range of motion and thigh perimeter of group A were higher than those of group B and group C at 3, 6, and 12 months. IKDC scores of group C were better than those of groups A and B. The bone tunnel widening with group B was larger than that with groups A and C, and the differences were statistically significant (P < 0.05). CONCLUSION: Early rehabilitation is beneficial for restoration of knee function after ACL reconstruction. Moderate procedure is better than accelerated procedure.
OBJECTIVE: To compare the effects of the three rehabilitation procedures following anterior cruciate ligament (ACL) autograft reconstruction with hamstring tendons. DESIGN: An observational and retrospective case-controlled series. SETTING: The Department of Sports Medicine, Shenzhen Second People Hospital, Shenzhen, PR China. PATIENTS OR PARTICIPANTS: Forty-five patients who were made to undergo ACL reconstructions by using quadrupled semitendinosus and gracilis tendons were divided into three groups: accelerated rehabilitation procedures group, aggressive rehabilitation procedures group, and self-made rehabilitation procedures group. MAIN OUTCOME MEASURES: The knee range of motion, thigh perimeter, IKDC score, and bone tunnel diameter in 3D-CT films were evaluated 3 and 6 months and 1 year later. RESULTS: The knee range of motion and thigh perimeter of group A were higher than those of group B and group C at 3, 6, and 12 months. IKDC scores of group C were better than those of groups A and B. The bone tunnel widening with group B was larger than that with groups A and C, and the differences were statistically significant (P < 0.05). CONCLUSION: Early rehabilitation is beneficial for restoration of knee function after ACL reconstruction. Moderate procedure is better than accelerated procedure.
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