대한관절경학회지 (Journal of the Korean Arthroscopy Society)
- 제1권1호
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- Pages.132-138
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- 1997
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- 1226-9352(pISSN)
전십자인대 재건술 후 고식적 재활과 적극적 재활의 결과
Results of Conventional and Accelerated Rehabilitation Following ACL Reconstruction
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이병일
(순천향대학병원 정형외과) ;
- 민경대 (순천향대학병원 정형외과) ;
- 최중근 (순천향대학병원 정형외과) ;
- 유재응 (순천향대학병원 정형외과) ;
- 손치수 (순천향대학병원 정형외과)
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Lee, Byung-Ill
(Department of Orthopaedic Surgery, College of Medicine, Soonchunhyang University) ;
- Min, Kyung-Dae (Department of Orthopaedic Surgery, College of Medicine, Soonchunhyang University) ;
- Choi, Joong-Keun (Department of Orthopaedic Surgery, College of Medicine, Soonchunhyang University) ;
- You, Jae-Eung (Department of Orthopaedic Surgery, College of Medicine, Soonchunhyang University) ;
- Son, Chi-Soo (Department of Orthopaedic Surgery, College of Medicine, Soonchunhyang University)
- 발행 : 1997.06.01
초록
The purpose of this study is to compare the results between conventional and accelerated rehabilitation program following ACL reconstruction using bone-patellar tendon-bone. Conventional rehabilitation focused on protecting the new ligament by blocking terminal extension and avoiding active quadriceps function in the terminal degrees of extension. But there is current trend toward early postoperative mobilization and intensive. so called 'accelerated', rehabilitation stressing hyperextension of the knee. The results of intraarticular ACL reconstruction with conventional and accelerated rehabilitation were prospectively compared for one year postoperatively in a series of 27 patients. Range of motion and thigh circumference were checked preoperatively, and weekly up to 8 weeks, 3 months. 6 months, and 1 year postoperatively. Stress radiologic test, KT-1000 arthrometer. Cybex II dynamometer were checked in preoperatively, and 3 months, 6 months, and 1 year postoperatively. There were no differences of objective stability and restoration of muscle power. But the accelerated group had a low incidence of extension loss. excellent range of motion, and less difference of thigh circumference. We concluded that accelerated rehabilitation program is recommendable due to superiority in terms of range of motion, especially less extension loss without increasing laxity of knee joint.