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目的探讨运动员前交叉韧带(ACL)损伤的治疗以及康复方案。方法专业运动员前交叉韧带损伤手术治疗18例,其中自体髌腱中三分之一重建桥交叉韧带6例,自体股薄肌腱半腱肌腱重建前交叉韧带7例,同种异体髌腱重建前交叉韧带4例,人工韧带重建前交叉韧带1例。术后经过严格的康复训练。结果分析受伤原因,训练时受伤者均与训练时损伤和技术失误有关,而比赛受伤者则主要是对手粗暴动作造成。术后均得到1年以上的随访,膝关节松弛度测试仪(KT2000)30磅检查移位平均2.0,主观感觉良好,术后再断1例,余均恢复正常训练,并基本达到或者超过伤前水平。结论严格训练纪律和适度劳逸结合可能有助于减少外伤,关节镜下重建前交叉韧带并结合严格的康复训练,有助于前交叉韧带损伤的专业运动员恢复竞技能力。
Objective To investigate the treatment and rehabilitation of anterior cruciate ligament (ACL) injury in athletes. Methods 18 cases of anterior cruciate ligament injury were treated by professional athletes. Among them, 6 cases were reconstructed with anterior cruciate ligament in one-third of patellar tendon, 7 cases were anterior cruciate ligament with semitendinosus tendon reconstruction, Ligament in 4 cases, artificial ligament reconstruction of anterior cruciate ligament in 1 case. After a rigorous rehabilitation training. Results Analysis of the causes of injuries, injuries and training training were related to injury and technical errors, while injuries were mainly caused by rival rudeness. All cases were followed up for more than 1 year. Knee weight loss test (KT2000) 30 pounds average shift 2.0, subjective feeling was good. One case was reoperated after the operation, all of them returned to normal training and basically met or exceeded the injury Before the level. Conclusion The combination of strict training discipline and moderate work-rest may help to reduce trauma. Arthroscopic reconstruction of the anterior cruciate ligament combined with strict rehabilitation training will help professional athletes with anterior cruciate ligament injury recover their athletic ability.