Deprecated: mysql_connect(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /irehabilitujemy/config/database.php on line 13

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Funkcja stawu kolanowego po rekonstrukcji więzadła krzyżowego przedniego - Fizjoterapeuta. Rehabilitacja. | iRehabilitujemy.pl
    • 01
      pa
      2013

    Funkcja stawu kolanowego po rekonstrukcji więzadła krzyżowego przedniego

     Wstęp. Uszkodzenie więzadła krzyżowego przedniego stanowi około 50% wszystkich obrazeń wewnętrznych stawu kolanowego po jego urazie. Sytuacja ta prowadzi do niestabilności stawu kolanowego, jego dysfunkcji a w konsekwencji do rozwoju wczesnych zmian zwyrodnieniowych stawu. W celu ustabilizowania, poprawienia funkcji i zapobiegeniu powstawaniu wczesnych zmian zwyrodnieniowych kolana wykonuje się rekonstrukcje więzadła krzyżowego przedniego. Sama jednak stabilizacja mechaniczna stawu wydaje się nie być wystarczająca do uzyskania dobrej funkcji kolana po jego uszkodzeniu. 
    Cele pracy.
    Analiza wpływu leczenia niestabilności przednio-tylnej kolana rekonstrukcją więzadła krzyŜowego przedniego przeszczepami z mięśni smukłego i półścięgnistego oraz sposobu rehabilitacji pooperacyjnej na funkcję stawu kolanowego.
     

     WNIOSKI
    1. Funkcja stawu kolanowego rok po operacyjnej rekonstrukcji więzadła krzyzowego przedniego w opinii 80% chorych oceniana jest jako dobra lub bardzo dobra.
     
    2. Rekonstrukcja więzadła krzyzowego przedniego według przedstawionej techniki przywróciła dobrą stabilizację mechaniczną stawu kolanowego u 92% chorych.
     
    3. Okres roku rehabilitacji po rekonstrukcji więzadła krzyzowego przedniego ze ścięgien mięśni kulszowo-goleniowych jest wystarczający dla odbudowania dobrej siły mięśni zginaczy jednak nie wystarcza do odbudowania siły mięśni prostowników kolana.
     
    4. Po rekonstrukcji więzadła krzyzowego przedniego 70% chorych przedstawia zaburzony lub nieprawidłowy sposób kontroli wzrokowo-proprioceptywnej. Wyłączenie kontroli wzrokowej zdecydowanie pogarszało zachowanie równowagi.
     
    5. Stopień zadowolenia chorych z wyników leczenia zalezał przede wszystkim od siły mięśni prostowników kolana i mechanicznej stabilności stawu, podczas gdy sposób kontroli wzrokowo-proprioceptywnej nie wpłyną na subiektywną oceny funkcji operowanego stawu.
     
     

    Źródło: Kinga Ciemniewska-Gorzela Rozprawa doktorska. Promotor: Prof. dr hab. med. Andrzej Szulc Katedra i Klinika Ortopedii i Traumatologii Dziecięcej Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu. Poznań 2010
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