Analysis Of Postoperative Knee Joint Function Recovery In Patients With Different Traditional Chinese Medicine Constitution

OBJECTIVE:To compare the recovery of knee joint function in patients with patellofemoral anterior cruciate ligament reconstruction and to understand the correlation between physical fitness and knee function recovery,and provide reference for clinical guidance of postoperative rehabilitation,and provide theoretical basis for further research.METHODS:Eighty-four patients who underwent arthroscopic reconstruction of the anterior cruciate ligament with autogenous hamstring muscle from the Department of Arthrology,First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from January 2017 to May 2018 were selected as subjects.Through the "Classification and Judgment of TCM Constitution",the patients were judged by physical fitness,divided into peace and qi deficiency and other partial physique groups.Three groups of patients with the same qualifications were treated with the same surgery and the same rehabilitation program.The knee active activity,passive activity,and knee isokinetic strength test data were tested and recorded before surgery.Three months after surgery,6 months after surgery,9 months after surgery,and 12 after surgery.The knee active activity,passive activity,and knee isokinetic strength test data were tested and recorded.The Lysholm score,IKDC score,and Tegner score were followed up and recorded,and the data were analyzed by statistical methods.RESULTS:1 General data analysis showed that there was no significant difference in gender,age,height,weight,body mass index and disease duration between the Qi deficiency group and the Pinghe quality group.There was no significant difference(P>0.05).There were no significant differences in gender,age,height,weight,body mass index and disease duration between the other biased constitutional groups and the Pinghe quality group.There was no significant difference(P>0.05).2 Preoperative analysis,the preoperative active activity,passive activity,flexion and extensor strength of the knee joint,and flexion and extensor strength of the affected knee were compared between the Qi deficiency group and the Pinghe quality group.There was no significant difference(P>0.05),the two groups are comparable.There were no significant differences between the other biased physical group and the Pinghe quality group in terms of preoperative active activity,passive mobility,flexion and extension of the knee joint,and flexion and extensor strength of the affected knee.There was no significant difference(P>0.05).Groups are comparable.3 Subjective index analysis,there was no significant difference between Lysholm score,IKDC score and Tegner score in the other physique group and the Pinghe quality group at 3,6,9 and 12 months after operation(P>0.05).There were significant differences in Lysholm score,IKDC score and Tegner score between the Qi deficiency group and the Pinghe quality group at 3,6,9 and 12 months after operation(P<0.05),and the qi deficiency quality score was lower than the Pinghe quality group.4 Objective index analysis,the active activity of the knee joint,the passive activity,the flexion and extensor strength of the contralateral knee,and the flexion and extensor strength of the affected knee in the other physique group and the Pinghe quality group at 3,6,9 and 12 months after operation.There was no significant difference in the results(P>0.05).There was no significant difference in active activity and passive activity between the qi deficiency group and the Pinghe quality group at 3,6,9 and 12 months after operation(P>0.05).After 3,6,9,12 months,the operation was performed.There was no significant difference in flexion and extension muscle strength of the lateral knee joint(P>0.05).There was no significant difference in the flexion and extensor strength of the knee joint at 3,6,9,and 12 months after operation(P>0.05).There was significant difference in the flexion and extensor strength of the knee joint at 12 months after operation(P<0.05).Patients with qi deficiency have lower muscle strength than patients with peace.In the 12 months after surgery,the recovery of the ipsilateral muscle strength was about 85%of the healthy side,and the recovery of the ipsilateral muscle strength of the qi deficiency type was about 75%of the healthy side.Conclusion:The recovery of knee joint in patients with anterior cruciate ligament reconstruction with qi deficiency is worse than that of patients with phlegm and blood stasis.It is mainly reflected in muscle strength and exercise.Patients with qi deficiency should be given more attention and intervention.A reasonable rehabilitation program can promote the recovery of patients with qi deficiency.