首页|跳马训练所致膝前交叉韧带损伤与临床转归分析

跳马训练所致膝前交叉韧带损伤与临床转归分析

Analysis of cause and clinical outcome of knee anterior cruciate ligament injury by vault training

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[目的]探讨跳马训练致膝前交叉韧带损伤(anterior cruciate ligament injury,ACLI)的风险因素和术后复训效果.[方法]回顾性分析2019年10月1日-2022年10月31日联勤保障部队第九四○医院收治的因跳马训练致ACLI的伤员,比较其一般信息、损伤情况、随访及复训等资料.[结果]纳入356例因跳马训练致膝关节损伤伤员,其中跳马一训练致伤117例,跳马二训练致伤158例,跳马三训练致伤81例.与术前相比,术后不同年龄[<25岁组,(4.2±1.7),(0.3±0.8),P<0.001;≥25岁组,(4.4±1.5),(0.4±0.8),P<0.001]、不同职级[士兵组,(4.3±1.6),(0.3±0.8),P<0.001;军官组,(4.5±1.4),(0.4±1.0),P<0.001]、不同伤后时间[急性期组,(6.0±1.3),(0.6±1.4),P<0.001;亚急性期,(4.9±0.8)(0.4±0.6),P<0.001;慢性期组,(3.2±1.1)(0.3±0.8),P<0.001]VAS 评分均显著改善.与术前相比,术后不同年龄[<25 岁组,(52.8±4.8),(89.7±5.5);P<0.001;≥25 岁组,(53.2±4.1),(89.5±5.5),P<0.001]、不同职级[士兵组,(53.1±4.4),(89.5±5.3);P<0.001;军官组,(52.9±4.5),(89.9±6.2),P<0.001]、不同伤后时间[急性期组,(53.5±4.0),(90.2±5.6),P<0.001;亚急性期,(52.5±4.1),(89.3±5.8),P<0.001;慢性期组,(53.1±4.7),(89.5±5.2),P<0.001]Lysholm 评分均显著改善.与术前相比,术后不同年龄[<25 岁组,(92.0±13.4)°,(132.0±6.0)°,P<0.001;≥25 岁组,(90.1±11.2)°,(131.9±5.7)°,P<0.001]、不同职级[士兵组,(90.3±11.8)°,(132.1±5.8)°;P<0.001;军官组,(94.0±13.4)°,(131.2±5.7)°,P<0.001]、不同伤后时间[急性期组,(92.4±13.1)°,(132.3±6.5)°,P<0.001;亚急性期,(90.4±12.8)°,(131.5±5.5)°,P<0.001;慢性期组,(90.7±11.3)°,(132.1±5.6)°,P<0.001]ROM均显著改善.不同年龄段、不同职级、伤后不同时间段、不同致伤科目间在主要评估指标上差异无统计学意义(P>0.05).随访期间356例伤员中达到复训标准99例(27.8%),平均需16个月恢复至复训状态.[结论]跳马训练是ACLI的重要致病因素,ACLR术后患者的膝关节功能恢复良好,但伤后恢复周期长、复训率低.
[Objective]To investigate the risk factors of anterior cruciate ligament injury(ACLI)caused by vault training and the effect of postoperative rehabilitation training.[Methods]A retrospective study was done on the patients who underwent arthroscopic ACL recon-struction for ACLI due to vault training in The 940th Hospital,Joint Logistics Support Force of PLA from October 1,2019 to October 31,2022.The data regarding their general information,injury status,follow-up and re-training data were compared.[Results]A total of 356 patients with knee joint injury caused by vault training were included into this study,including 117 patients with knee joint injury caused by vault training I,158 patients with knee joint injury caused by vault training Ⅱ and 81 patients with knee joint injury caused by vault training Ⅲ.The VAS score,Lysholm score and ROM were significantly improved in the patients after operation compared with those preop-eratively(P<0.05).However,there were no significant differences in the main evaluation parameters,including different age,different mili-tary ranks,different time periods after injury and different injury subjects(P>0.05).During the follow-up,99(27.8%)of the 356 patients reached the standard of re-training,and it took an average of 16 months to recover to the state of re-training.[Conclusion]Vault training is an important cause of ACLI.Although the patients are well recovered in clinic state,the recovery period after injury is long and the re-train-ing rate is low.

military trainingvault trainingACL injuryre-trainingprevention

徐健、李中耀、吴毅东、甘露、于康康、许金芳、曹丽、董晨辉、李春宝

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解放军联勤保障部队第九四○医院运动医学科,甘肃兰州 730050

解放军总医院第四医学中心骨科医学部,北京 100853

解放军海军军医大学军队卫生统计学教研室,上海 200435

解放军联勤保障部队第九四○医院神经外科,甘肃兰州 730050

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军事训练 跳马训练 前交叉韧带损伤 复训 预防

军委科技委专项项目全军后勤科研项目军队科研项目重大需求培育资助项目军队护理创新与培育专项计划项目

223-CXCY-M113-01-17-01CLB21J0352021yxky020319202201082021HL064

2024

中国矫形外科杂志
中国残疾人康复协会 中国人民解放军第八十八医院

中国矫形外科杂志

CSTPCD北大核心
影响因子:1.521
ISSN:1005-8478
年,卷(期):2024.32(12)