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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Preoperative exercise rehabilitation in experimental group was performed.
The control group receives conventional treatment preoperative.
Peking University Third Hospital
Beijing, China
RECRUITINGGrade of tendon bone healing
tendon bone healing by knee MRI
Time frame: At 6 monthes post operation.
Grade of tendon bone healing
tendon bone healing by knee MRI
Time frame: At 1 year post operation.
balanced capacity
Y balance test
Time frame: At preoperative.
balanced capacity
Y balance test
Time frame: At 6 monthes post operation.
balanced capacity
Y balance test
Time frame: At 1 year post operation.
knee T1 rho value
knee T1 rho value by functional MRI
Time frame: At 6 months post operation.
knee T1 rho value
knee T1 rho value by functional MRI
Time frame: At 1 year post operation.
knee T2 value
knee T2 rho value by functional MRI
Time frame: At 6 months post operation.
knee T2 value
knee T2 rho value by functional MRI
Time frame: At 1 year post operation.
knee extension angles
Three-dimensional gait analysis system and plantar pressure were used during walking, running, cutting and jumping
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Time frame: At 6 months post operation.
knee extension angles
Three-dimensional gait analysis system and plantar pressure were used during walking, running, cutting and jumping
Time frame: At 1 year post operation.
Graft maturity
tendon bone healing by knee MRI
Time frame: At 6 monthes post operation.
Graft maturity
tendon bone healing by knee MRI
Time frame: At 1 year post operation.
bone mineral density
bone mineral density by knee DEX
Time frame: At preoperative.
bone mineral density
bone mineral density by knee DEX
Time frame: At 6 monthes post operation.
bone mineral density
bone mineral density by knee DEX
Time frame: At 1 year post operation.
isokinetic muscle strength
Knee isokinetic strength test
Time frame: At preoperative.
isokinetic muscle strength
Knee isokinetic strength test
Time frame: At 6 monthes post operation.
isokinetic muscle strength
Knee isokinetic strength test
Time frame: At 1 year post operation.
The HU value of CT
CT test
Time frame: at pre-operation