Clinical Observation Of Chinese Medicine Lotion Combined With Rehabilitation Training In Functional Recovery After Reconstruction Of Multiple Ligaments Of Knee Joint

Objective:The objective of this study is to observe the effect of traditional Chinese medicine lotion combined with rehabilitation training on functional recovery after multi-ligament reconstruction of knee joint,so as to enrich the existing content of rapid rehabilitation after multi-ligament reconstruction of knee joint,tap the potential of traditional Chinese medicine,enrich the concept of rapid orthopedic rehabilitation,and provide clinical basis for researchers engaged in bone and joint diseases.Method:From November 2016 to September 2018,44 patients(44 knees)who met the inclusion criteria were selected from patients with knee joint injuries who underwent knee joint multiple ligament reconstruction in Department 2 of Joint Bone of Gansu Provincial Hospital of Traditional Chinese Medicine.All patients were randomly divided into the control group and the experimental group according to the random number table method.In the control group,22 cases(3 cases of common peroneal nerve injury)were treated with arthroscopic primary reconstruction of anterior cruciate ligament(ACL)+posterior cruciate ligament(PCL)in 7 cases,ACL reconstruction+in situ repair of medial collateral ligament(MCL)in 8 cases,PCL reconstruction+in situ repair of MCL in 3 cases,ACL reconstruction+lateral collateral ligament(LCL)in 2 cases,ACL reconstruction+PCL reconstruction+MCL in situ repair in 2 cases;In the experimental group,22 cases(2 cases of common peroneal nerve injury)were treated with arthroscopic assisted primary ACL+PCL reconstruction in 6 cases,ACL reconstruction +MCL in situ repair in 9 cases,ACL reconstruction +LCL reconstruction in 3 cases,PCL reconstruction +LCL reconstruction in 2cases,ACL reconstruction +PCL reconstruction +MCL in situ repair in 2 cases.The two groups of patients were given standardized rehabilitation training after surgery,while the experimental group was given traditional Chinese medicine lotion for external application on the affected knee 2 weeks after surgery on this basis.Each external application was performed before the rehabilitation training,30 min each time,3 times/day,10 days as one course of treatment.After one course of treatment,rest for 2 days,and then proceed to the next course of treatment,with a total of 2 courses of treatment.Two groups of patients were followed up before and 4 weeks after operation,6 weeks after operation,8 weeks after operation and 12 weeks after operation respectively.VAS pain score,knee joint activity degree,Lysholm score,Tegner score,2000 IKDC score and incidence rate of adverse drug reactions were recorded to evaluate curative effect and drug safety.Finally,the data were collected and analyzed statistically by SPSS 20.0.Result:(1)All 44 patients in this group were followed up for 4 times.During the follow-up period,there was no incision infection,loosening of internal fixation,graft failure or fracture.Four patients developed joint cavity effusion,which improved after 1 week of joint puncture and extraction combined with elastic bandage fixation;(2)At the last follow-up,5 patients with common peroneal nerve injury had basically recovered their sensation,all of which were negative in the posterior Lachman test,7 patients had positive degree ? in the anterior drawer test,1 patient had positive degree ? in the eversion stress test,2 patients had positive degree ? in the eversion stress test,4 patients had knee joint flexion function of only 75 °-90°,and knee extension function was not limited;(3)There was no significant difference in general baseline data between the two groups(P > 0.05);(4)There was no significant difference between the two groups in preoperative VAS pain score,knee joint activity degree,Lysholm score,Tegner score and 2000 IKDC score(P>0.05);(5)The VAS pain score,knee joint activity degree,Lysholm score,Tegner score and 2000 IKDC score in the 4th,6th,8th and 12 th weeks after operation were statistically significant(P<0.05);(6)No obvious adverse reactions were found in the experimental group during the external application of traditional Chinese medicine lotion to affected knees.Conclusion:Traditional Chinese medicine lotion combined with rehabilitation training is superior to the control group in joint function recovery after knee multi-ligament reconstruction,which can obtain better short-term curative effect;(2)During the study,no adverse drug reactions were found in the patients in the test group,indicating that the traditional Chinese medicine lotion has higher clinical safety.