前交叉韧带重建术后应用玻璃酸钠减少髌股摩擦感的临床研究

发布时间：2019-05-08 18:45

【摘要】：目的:评价前交叉韧带重建术后关节内注射玻璃酸钠对减少术后髌股摩擦感、改善膝关节活动度的作用。方法:将我院2012年1月至2013年4月收治的单纯膝关节前交叉韧带断裂患者80例随机分为治疗组和对照组,每组40例,两组均采用同一术者、手术方式和康复计划。治疗组术后4周开始注射玻璃酸钠25mg,1次/周,连续注射5周。分别在术后4周(注射前)、8周、12周、半年、1年对患者进行随访,随访内容包括髌股摩擦感、关节活动度。结果:术后4周及8周时两组髌股摩擦感人数比较差异无统计学意义,术后12周、6月及1年时两组差异有统计学意义(P0.05)。术后4周时两组关节活动度比较差异无统计学意义,术后8周及12周两组间差异有统计学意义(P0.05),而术后6个月及1年时差异有显著的统计学意义(P0.01)。结论:前交叉韧带重建术后关节内注射玻璃酸钠可以明显减少髌股摩擦感,改善关节活动度。
[Abstract]:Aim: to evaluate the effect of intraarticular injection of sodium hyaluronate after anterior cruciate ligament reconstruction in reducing patellofemoral friction and improving knee motion. Methods: from January 2012 to April 2013, 80 patients with ruptured anterior cruciate ligament of knee joint were randomly divided into treatment group (n = 40) and control group (n = 40). In the treatment group, 25 mg sodium hyaluronate was injected at 4 weeks after operation, once a week for 5 weeks. The patients were followed up at 4 weeks (before injection), 8 weeks, 12 weeks, 6 months and 1 year after operation. The follow-up included patellofemoral friction and joint range of motion. Results: there was no significant difference in the number of patellofemoral friction between the two groups at 4 weeks and 8 weeks after operation, but there was significant difference between the two groups at 12 weeks, 6 months and 1 year after operation (P0.05). There was no significant difference in joint range of motion between the two groups at 4 weeks after operation, but there was significant difference between the two groups at 8 weeks and 12 weeks after operation (P 0.05), but there was significant difference at 6 months and 1 year after operation (P 0.01). Conclusion: intraarticular injection of sodium hyaluronate after anterior cruciate ligament reconstruction can significantly reduce patellofemoral friction and improve joint mobility.
【作者单位】：北京大学深圳医院运动医学与康复科;
【基金】：深圳市科技计划项目(201302058)
【分类号】：R87

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