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| Effect of different knee flexion time nodes on bone tunnel aperture after anterior cruciate ligament reconstruction |
| ZOU Qizhao1 YANG Peng1 LIN Tianye1 XU Jingli1 XIONG Binglang1 HE Wei2 LI Ziqi2 ZHANG Qingwen2 |
1.The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510000, China;
2.Joint Bone, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510000, China |
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Abstract Objective To evaluate the effect of different knee flexion time nodes on bone tunnel aperture after anterior cruciate ligament reconstruction. Methods A total of 35 patients who underwent anterior cruciate ligament reconstruction in the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2016 to May 2018 were analyzed. According to the method of random number table, the patients were divided into two-week knee flexion group (17 cases were given knee flexion training two weeks after surgery) and four-week knee flexion group (18 cases were given knee flexion training four weeks after surgery). The pore size of bone tunnel on postoperative knee magnetic resonance imaging was measured, and Lysholm knee score (LKS), the International Knee Documentation Committee subjective knee form (IKDC) and Tenger activity scale were used to evaluate the recovery of knee function. Results The follow-up time was 28 to 56 months, with a median follow-up time of 44 months. In terms of bone tunnel aperture, the percentage of enlargement in the four measuring directions of the sagittal, coronal, horizontal and coronal internal mouth of the tibia in the the two-week knee flexion group was higher than that in four-week knee flexion group (P < 0.05). In terms of clinical scores, at the last follow-up, LKS, IKDC score and Tenger activity scores of the two groups were improved compared with those before surgery, and the differences were statistically significant (P < 0.05). At the last follow-up, there were no significant differences in LKS, IKDC score and Tenger activity score between the two groups (P > 0.05). Conclusion Different knee flexion time nodes have little effect on functional recovery after anterior cruciate ligament reconstruction, but early knee flexion exercise (two weeks) will significantly expand the bone tunnel, therefore, it is recommended to start knee flexion exercise no earlier than two weeks after anterior cruciate ligament reconstruction.
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