The Effects Of Accelerated Rehabilitation Protocol Combine With Traditional Chinese Medicine Washout On Recovery After Arthroscopic Anterior Cruciate Ligament Reconstruction

BACKGROUND:The Anterior cruciate ligament(ACL)locates in the articular genu, and is the important construction for stability of knee joint,Its length is approximately is 38mm and diameter is 10mm,the function of ACL is prevent tibial luxation white knee in movement,and it guarantee knee to complete complicate activities.Actually,the ACL is crucial for human,but,it is susceptible to be injuried.In 2014,there is 200000 cases of ACL rupture,and that number is increasing.The ACL frequently be injured or ruptured in sport. With the development of the arthroscopic technique,Docter can reconstruct ACL perfectly.If patients is young,or athlete,and patients ask for high function of knee joint,they should be reconstruct ACL by arthroscopic surgery.Because arthroscopic surgery has a lot of advantage,for example,less trauma,Cheaper and therapeutic effect is optimal.However,when patients get rehabilitation after surgery,it is very likely to be knee stiffness,moreover,quadriceps femoris muscle,triceps femoris muscle and gastrocnemius muscle is susceptible be week,which make patients not very satisfied,and damages doctor-patient relationship.The Release surgery isn’t a ideal choice.Accordingly,the rehabilitation after ACL reconstruction is critical.In foreign countries,more and more doctors tend to accelerate rehabilitation procotol,reversely,patients in China still received nonaccelerate rehabilitation procotol.When should patients begin rehabilitation and degree of rehabilitation patients can bear?This is worth to discuss and study.PURPOSES:1,To improve the patients with ACL reconstruction by arthroscopic surgery recovery more desired and prevent knee stiffness, to improve quality of life of patients.2,To observe whether there exists side effect due to accelerate rehabilitation procotol.3,To relieve pain treated with traditional Chinese medicine,to help accelerate rehabilitation procotol executed and improving the patients’s satisfactionMETHODS:We collected 60 patients of Guangzhou Orthopedic Hospital,which anterior cruciate ligament(ACL) ruptured,all patients underwent identical arthroscopic anterior cruciate ligament reconstruction.After the ACL reconstruction,all patients were randomly divided into two groups according to the manner of the conducting the postoperative rehabilitation.Experimental group consisted of 30 patients,which conducted accelerated rehabilitation protocol combine with Traditional Chinese Medicine washout,and control group consisted 30 patients that conducted nonaccelerated rehabilitation protocol without Traditional Chinese Medicine washout.We evaluated knee joint range of motion(ROM),thigh circumference,calf circumference,Lysholm Score and IKDC Score postoperatively after 2,4,8 weeks by statistical analysis, and the Student’s T-test was selected.RESULTS:All patients were followed-up for 8 weeks.In 4 and 8 postoperative weeks,results of theknee joint range of motion,thigh circumference,calf circumference,Lysholm Score and IKDC Score is statistically highly significant in patients from the experimental group(P< 0.01).We have not found side effect by accelerate rehabilitation protocol.4 weeks after operation.The knee joint range of motion of accelerate group is 8.97° higher than nonaccelerate group,8 weeks after operation.The knee joint range of motion of accelerate group is 11.17° higher than nonaccelerate group’s.Thigh circumference and calf circumference of accelerate group is rehabilitation more perfect than nonaccelerate group’s in 4 and 8 weeks after operation。Additional,4 and 8 weeks after operation,both Lysholm score and IKDC score of accelerate group is higher than nonaccelerate group’s.The subjective satisfaction of accelerate group is superior to nonaccelerate group’s,it is testd by Mann-Whitner U.The VAS score of accelerate goups is better than nonaccelerate group’s after operation 4 to 8 weeks.CONCLUSIONS:1,We have not found side effect by accelerate rehabilitation protocol,for example ACL translocation,reptured again and so on.2,Accelerate rehabilitation protocol can prevent knee joint stiffness,Increase in lower limb muscle strength,Improve patient satisfaction.3,Accelerate rehabilitation protocol combine traditional Chinese medicine washout knee can relieve pain by Accelerated rehabilitation.