Role of Physiotherapy in Preventing Failure of Primary Anterior Cruciate Ligament Reconstruction: 首次前十字韌帶重建手術後物理治療所扮演的角色

Background/PurposeAnterior cruciate ligament (ACL) reconstruction is routinely performed in sports medicine. We aimed to determine if there is any protective effect of postoperative physiotherapy in preventing graft rupture after primary ACL reconstruction (ACLR).MethodsA retrospective case–control study was carried out, with demographic data, concomitant meniscal injury, and intraoperative fixation methods matched. The number of sessions of physiotherapy attended by the rupture group and nonrupture group were compared using binary logistic regression.ResultsNo significant relationship between the frequency of postoperative physiotherapy and occurrence of graft rupture after primary ACLR was identified.ConclusionFurther research is needed to verify the effect of physiotherapy in the prevention of graft rupture after primary ACLR.

中 文 摘 要前十字韌帶重建手術在運動醫學中十分普遍。我們希望找出首次接受前十字韌帶重建手術後物理治療能否保護該韌帶。我們針對首次接受前十字韌帶重建手術的病人做了病例對照研究，研究對象中我們已配對年齡、性別、有沒有同時的半月板受損以及已重建前十字韌帶的固定方法。我們透過二項對數迴歸模式比較了術後前十字韌帶有受損及沒有受損病人的參與物理治療次數。是次研究未有發現重建後的前十字韌帶受損與參與物理治療次數有關。