急性膝关节后外侧旋转脱位修复治疗后的步态分析及其指导意义
发布时间：2019-04-02 12:48
【摘要】：背景:近年来对膝关节后外侧旋转脱位的评估常依赖传统影像技术获取静态解剖信息,同时以Lysholm评分和国际膝关节文献委员会评分进行功能评估,但这些均无法对患者的运动学特征进行定量评价,亦无法为术后提供具体的康复指导。目的:通过对急性膝关节后外侧旋转脱位术后患者进行步态分析,动态评估术后的运动学指标和位移指标,帮助指导康复。方法:纳入2011年1月至2014年12月四川大学华西医院收治的急性膝关节后外侧旋转脱位患者12例,行关节镜下一期韧带重建或修复,术后常规康复训练,同时采用Opti-Knee~?分析系统采集患侧膝关节(损伤组)及健侧膝关节(正常组)的6个自由度数据(包括运动角度和位移),计算其变化范围,并将2组结果进行比较。结果与结论:(1)运动角度方面:2组膝关节最大内/外翻转角,内/外旋转角差异无显著性意义(P0.05),而损伤组膝关节最小屈曲角,最大屈曲角及屈曲/伸展、内/外翻角、内/外旋转角度变化范围均大于正常组(P0.05);(2)位移方面:2组股骨相对于胫骨前移、内移、外移最大值及内/外位移变化范围差异无显著性意义(P0.05),损伤组股骨相对于胫骨后移、下移最大值及胫骨前/后移变化范围大于正常组,而上移最大值和上/下位移变化范围则小于正常组(P0.05);(3)结果提示,关节镜辅助一期治疗急性膝关节后外侧旋转脱位可在一定程度上恢复膝关节步态,Opti-Knee~?分析系统可客观提供运动参数信息,其自由度数据的改变有助于指导康复。
[Abstract]:Background: in recent years, the evaluation of posterolateral rotated dislocation of the knee often relies on traditional imaging techniques to obtain static anatomical information. At the same time, the Lysholm score and the International knee Joint documentation Committee score are used to evaluate the function of the knee joint. However, all of these can not quantitatively evaluate the kinematic characteristics of the patients, nor can they provide specific rehabilitation guidance for postoperative patients. Aim: to evaluate the postoperative kinematic and displacement indexes of patients with acute posterolateral rotational dislocation of knee joint by gait analysis, and to help guide the rehabilitation of patients with post-operative posterolateral rotational dislocation of knee joint. Methods: from January 2011 to December 2014, 12 patients with acute posterolateral rotatory dislocation of knee joint were treated with arthroscopic reconstruction or repair of ligaments. Routine rehabilitation training was performed and Opti-Knee~? was used at the same time. The data of 6 degrees of freedom (including motion angle and displacement) of the affected knee joint (injury group) and the healthy side knee joint (normal group) were collected, the range of variation was calculated, and the results of the two groups were compared. Results & conclusion: (1) the angle of motion: there was no significant difference between the two groups in the maximum angle of varus / varus and the angle of internal / external rotation (P0.05), but the minimum angle of flexion, the maximum angle of flexion and the flexion / extension of the knee joint in the injured group were not significantly different (P0.05). The change range of internal / external angle and internal / external rotation angle was larger than that of normal group (P0.05). (2) displacement: there was no significant difference in the maximum value of femur relative to tibia, internal and external displacement between the two groups (P0.05), and there was no significant difference between the injured group and the injured group in the change range of femur relative to tibia (P0.05), and there was no significant difference between the two groups (P0.05). The maximum value of downward movement and the range of anterior / backward tibial displacement were larger than those of normal group, while the maximum value of upward shift and the range of upper / lower displacement were smaller than those of normal group (P0.05). (3) the results suggest that arthroscope-assisted one-stage treatment of acute posterolateral rotatory dislocation of the knee can restore the gait of the knee to a certain extent, Opti-Knee~? The analysis system can provide the motion parameter information objectively, and the change of the degree of freedom data is helpful to guide the rehabilitation.
【作者单位】： 四川大学华西医院骨科;
【分类号】：R687.4
，
本文编号：2452575
[Abstract]:Background: in recent years, the evaluation of posterolateral rotated dislocation of the knee often relies on traditional imaging techniques to obtain static anatomical information. At the same time, the Lysholm score and the International knee Joint documentation Committee score are used to evaluate the function of the knee joint. However, all of these can not quantitatively evaluate the kinematic characteristics of the patients, nor can they provide specific rehabilitation guidance for postoperative patients. Aim: to evaluate the postoperative kinematic and displacement indexes of patients with acute posterolateral rotational dislocation of knee joint by gait analysis, and to help guide the rehabilitation of patients with post-operative posterolateral rotational dislocation of knee joint. Methods: from January 2011 to December 2014, 12 patients with acute posterolateral rotatory dislocation of knee joint were treated with arthroscopic reconstruction or repair of ligaments. Routine rehabilitation training was performed and Opti-Knee~? was used at the same time. The data of 6 degrees of freedom (including motion angle and displacement) of the affected knee joint (injury group) and the healthy side knee joint (normal group) were collected, the range of variation was calculated, and the results of the two groups were compared. Results & conclusion: (1) the angle of motion: there was no significant difference between the two groups in the maximum angle of varus / varus and the angle of internal / external rotation (P0.05), but the minimum angle of flexion, the maximum angle of flexion and the flexion / extension of the knee joint in the injured group were not significantly different (P0.05). The change range of internal / external angle and internal / external rotation angle was larger than that of normal group (P0.05). (2) displacement: there was no significant difference in the maximum value of femur relative to tibia, internal and external displacement between the two groups (P0.05), and there was no significant difference between the injured group and the injured group in the change range of femur relative to tibia (P0.05), and there was no significant difference between the two groups (P0.05). The maximum value of downward movement and the range of anterior / backward tibial displacement were larger than those of normal group, while the maximum value of upward shift and the range of upper / lower displacement were smaller than those of normal group (P0.05). (3) the results suggest that arthroscope-assisted one-stage treatment of acute posterolateral rotatory dislocation of the knee can restore the gait of the knee to a certain extent, Opti-Knee~? The analysis system can provide the motion parameter information objectively, and the change of the degree of freedom data is helpful to guide the rehabilitation.
【作者单位】： 四川大学华西医院骨科;
【分类号】：R687.4
，
本文编号：2452575
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