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題 名 | 探討前十字韌帶缺損後經由內視鏡韌帶重建術後其膝關節本體自覺功能性評估=Evaluation of Knee Proprioception After Arthroscopic ACL Reconstruction Using Bone-Patellar-Tendon-Bone Graft |
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作 者 | 李宏滿; | 書刊名 | 醫學研究 |
卷 期 | 18:6 1998.05[民87.05] |
頁 次 | 頁425-442 |
分類號 | 416.61 |
關鍵詞 | 重建手術; 前十字韌帶; 臏骨韌帶; 本體自覺; 機械受體; Recnostruction; Auterior cruciate ligament; Patellar tendon; Proprioception; Mechanoreceptor; |
語 文 | 中文(Chinese) |
中文摘要 | 前十字韌帶為穩定膝關節重要之其中一條韌帶,其主要功能在膝關節活動時防止脛骨向前移位。當斷裂時膝關節會呈現極度不穩定。目前處理此類傷害,一般皆採取手術及輔助性復健治療。然而對術後之評估大多僅限於功能性之追蹤,缺乏完整客觀之數據。計劃之目的,在於探討前十字韌帶斷裂之病患以帶骨之髕骨韌帶經由關節鏡術重建後再評估其膝閞節對本體自覺之認知,從而了解手術及復建之療效。十位因運動造成前十字韌帶完全斷裂之傷患,給予實施在關節鏡下以帶骨之髕骨帶行替代性之重建手術。術後以制式本體自覺測試機測量膝關被動活動閼值(threshold to detection of passive motion;TTDPM)及關節角度之再認知(reproduction of passive positioning;RPP)。術後患膝與對側正常膝關節作為測試比較,結果二者並無有意義之差別(p<0.05)。因此吾等認為前十字韌帶缺損之傷患、藉由重建手術能恢復其膝關節之本體自覺接受體,因而能讓膝關節回復到正常功能。 |
英文摘要 | Ligaments play a major role in normal joint kinematics, providing mechanical restraint to abnormal joint motion when a stress is placed on the joint. Following injury to the anterior craniates ligament (ACL) is thought to disrupt joint afferent sensation and result in proprioceptive deficits. The primary concern of the orthopedic surgeon has been the mechanical restoration of this ligament following injury, or post reconstructive surgery, in attempt to reestablish the joint's static stability and kinematics. Proprioception is considered a specialization variation of the sensory modality of touch, which encompasses the dynamic and static sensation of joint motion (kinesthetic sensibility) and position (joint position sensibility), respectively. To investigate this problem, 10 patients were studied at an average of 11.2 mouths after arthroscopy ACL reconstruction with BPTB. The kinesthetic sensibility was measured by establishing the threshold to detection of passive motion (TTDPM) and joint position sensibility was assessed by reproduction of passive positioning (RPP). A proprioceptive testing device (PTD) which was designed to assess joint propriocetion. Results revealed no significantly decrease Kinesthetic awareness in the ACL reconstructed knee versus the uninvolved knee. Lastly, we found that surgery combined with rehabilitation may restore some, if not all, of the proprioceptive sensibility and may ultimately improve function and prevent the recurrent symptoms. |
本系統中英文摘要資訊取自各篇刊載內容。