Clinical Observation Of Quadriceps Femoris Atrophy After Anterior Cruciate Ligament Reconstruction By Acupuncture

Objectives:To observe the clinical effect of acupuncture on quadriceps femoris atrophy after anterior cruciate ligament reconstruction,and to provide guidance for clinical application.Methods:Sixty patients with anterior cruciate ligament injury who met the inclusion criteria were admitted to the Department of Sports Injury,Fuzhou Second Hospital from December 2017 to October 2018.There were 47 males and 13 females aged 19-39 years.The patients were divided into experimental group(n=30 cases)and control group(n=30 cases)by random number table method.The anterior cruciate ligament was reconstructed by knee arthroscopic autologous hamstring tendon transplantation in both groups.The control group received routine rehabilitation training from the first day after operation;the experimental group received acupuncture treatment on the basis of the control group.From the first day after operation,acupuncture Liangqiu,Futu,Zusanli,Sanyinjiao,Yinling,Yangling and Xuehai by the techniques of lifting,inserting,twisting,flat filling and relieving?Treatment once a day,20 minutes each time,5 consecutive days as a course of treatment,rest for two days,a total of four courses of treatment.The difference of thigh circumference,quadriceps femoris thickness,Lysholm score of knee joint function and visual analogue score(VAS)were observed and recorded before and after treatment.Results:The treatment and evaluation of 60 patients were successfully completed.There was no significant difference in sex,age,left and right knees between the experimental group and the control group(P>0.05).It is comparable between two groups of patients;The difference of thigh circumference between the affected side and the healthy side 10 cm above patella in the experimental group was statistically significant compared with the control group on the 12 th day and in the 1st month after operation.The improvement of the experimental group was better than that of the control group(P<0.05).Compared with the control group,the quadriceps femoris thickness of the affected side in the 1st month after operation in the experimental group was(14.55±1.63)mm,which was higher than that of the control group(13.57±1.43)mm,and the difference was statistically significant(P<0.05).Compared with the control group,Lysholm score of knee joint function in the 3rd month after operation in the experimental group was(83.90±2.20)points,which was better than that of the control group(82.70±1.71)points,and the difference was statistically significant(P<0.05).The visual analogue scores of pain on the 5th and 12 th day after operation in the experimental group were(4.29±1.01)points and(3.24±0.93)points respectively,which were significantly different from those in the control group(4.93±1.23)points and(3.74±0.69)points,and the difference was statistically significant(P<0.05).Compared with pre-operation,the quadriceps femoris thickness,Lysholm score of knee joint function in the 1st month after operation and visual analogue score of pain on the 12 th day after operation in the experimental group and the control group improved significantly(P<0.05)Conclusion : Acupuncture combined with rehabilitation training is superior to simple rehabilitation training in quadriceps femoris atrophy after anterior cruciate ligament reconstruction.And it has no adverse reactions.It is worthy of clinical application and promotion.