Anterior Cruciate Ligament Rupture
Conditions
Brief summary
To explore the effect of preoperative exercise rehabilitation on bone mineral density, tendon bone healing, change of cartilage, and gait feature in patients with anterior cruciate ligament rupture.
Detailed description
Anterior Cruciate Ligament (ACL) injury is one of the most common sports injuries. It is a serious knee injury. The fracture of ACL can cause functional instability of knee joint, damage of meniscus and articular cartilage, and even induce knee osteoarthritis and other diseases. It has great influence on knee joint and even lower limb function of patients. Arthroscopic ACL reconstruction has become the first choice in clinical treatment of ACL fracture. ACL fracture can cause local knee joint osteoporosis, and reconstruction surgery can also affect tendon bone healing, bone canal enlargement, rehabilitation period, gait, articular cartilage degradation, etc. This study intends to conduct preoperative rehabilitation intervention for young people with anterior fork rupture, and explore the effects of exercise rehabilitation on knee bone mineral density, muscle strength, proprioceptive ability and other aspects after ACL rupture, as well as the effects of knee bone mineral density, tendon bone healing, bone tunnel aperture, motor function, gait characteristics and cartilage degradation after reconstruction.
Interventions
Preoperative exercise rehabilitation in experimental group was performed.
The control group receives conventional treatment preoperative.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18\~40 years old, diagnosed ACL rupture or Patellar Dislocation by MRI; 2. The first unilateral ligamenta reconstruction at our hospital;
Exclusion criteria
1. Be older than 40 years, or less than 18 years old 2. Severe injury to other knee ligaments 3. History of knee trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Grade of tendon bone healing | At 6 monthes post operation. | tendon bone healing by knee MRI |
| balanced capacity | At preoperative. | Y balance test |
| knee T1 rho value | At 6 months post operation. | knee T1 rho value by functional MRI |
| knee T2 value | At 6 months post operation. | knee T2 rho value by functional MRI |
| knee extension angles | At 6 months post operation. | Three-dimensional gait analysis system and plantar pressure were used during walking, running, cutting and jumping |
| Graft maturity | At 6 monthes post operation. | tendon bone healing by knee MRI |
| bone mineral density | At preoperative. | bone mineral density by knee DEX |
| isokinetic muscle strength | At preoperative. | Knee isokinetic strength test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The HU value of CT | at pre-operation | CT test |
| Thigh Circumference | At 2 years post operation. | the circumference of 15 cm above the superior aspect of the patella |
| Single-Leg Hop | At 1 year post operation. | a maximal-distance hop |
Countries
China