2000, Número 2
<< Anterior Siguiente >>
Acta Ortop Mex 2000; 14 (2)
Rehabilitación mínima acelerada en la reconstrucción del ligamento cruzado anterior
Torres RF, Carriedo RE, Martínez TG, Martínez GF
Idioma: Español
Referencias bibliográficas: 23
Paginas: 161-163
Archivo PDF: 113.49 Kb.
RESUMEN
En un estudio de 21 pacientes operados por lesión de ligamento cruzado anterior y para reconstrucción artroscópica, se instaló un programa de rehabilitación sin uso de inmovilizaciones, con apoyo de la extremidad operada en el segundo día de postoperatorio sin muletas, no habiendo desanclaje o pérdida de los injertos y lográndose una extensión completa antes de 12 semanas de postoperatorio, con flexión superior a 120°, por lo cual lo recomendamos en pacientes con actividades comunes, pues el tiempo de recuperación y los costos del tratamiento disminuyen.
REFERENCIAS (EN ESTE ARTÍCULO)
Arnoczky SP, Tarvin GB, Marshall JL. Anterior cruciate ligament replacement using patellar tendon. An evaluation of graft revascularization in the dog. J Boint Surg 1982; 64 A: 2.
Barber-Westin SD, Noyes FR. The effect of rehabilitation and return to activity on anterior-posterior knee displacements after anterior cruciate ligament reconstruction. Am-J-Sports-Med 1993; 21-2: 664-70.
Barret GR, Field LD. Comparisoon of patella tendon versus patella tendon/Kennedy ligament augmentarion device for anterior cruciate ligament reconstruction: Study of results, morbidity and complications. Arthroscopy 1993; 9-6: 624-32.
Dandy DJ, Edwards DJ. Problems in regaining full extension of the knee after anterior cruciate ligament reconstruction: does arthrofibrosis exist? Knee-Surg-Sports-Traumatol-Arthrosc 1994; 2-2: 76-9.
Daniel DM, Stone ML, Arendt DL. The effect of cold therapy on pain, swelling and range of motion after anterior cruciate ligamente reconstructive surgery. Arthroscopy 1994; 10-5: 530-3.
De Carlo MS, Sell KE. The effects of the number and frequency of physical therapy treatments on selected autcomes of treatment in patients with anterior cruciate ligament reconstruction. J-Orthop-Sports-Phys-Ther 1997; 26-6: 332-9.
Dodds JA, Arnoczky SP. Anatomy of the anterior cruciate ligament. A blueprint for repair and recnstruction. Arthoscopy Association of North America 1994; 10-2: 132-139.
Gottlob ChA, Gaunt BW. Principles of rehabilitation following anterior cruciate ligament reconstruction. Sports Med and arthroscopy Review 1996; 4: 350-360.
Hulstyn M, Fadale PD, Abate J, Walsh WR. Biomechanical evaluation of interference screw fixation in a bovien patellar bone-tendon-bone autograft complex for anterior cruciate ligament reconstruction. Arthroscopy 1993; 9-4: 417-24.
Lana JG, Daniel DM, Stone ML. Graft impingement after anterior cruciate ligament reconstruction. Presentation as an active extension “thunk”. Am J Sports Med 1994; 22-3: 415-7.
Lobenhoffer P, Gogus A, Gerich T. Therapy of arthrofibrosis after ligament reconstruction of the knee joint. Arthopade 1993; 22-6: 392-8.
Matthews LS, Lawrence SJ, Yahiro MA, Sinclair MR. Fization strengths of patellar tendon-bone grants. Arthroscopy 1996; 9-1: 7-81.
McGuire DA, Grinstead GL. Advances in anterior cruciate ligamente surgery. Alaska Med 1990; 32-3: 101-5.
Miguel A, Rodríguez C, Echegoyen S, Lima H, Padilla N. Protocolo de rehabilitación de ligamento cruzado anterior de la rodilla, usando injerto libre hueso-tendón-patelar-huéso, con asistencia artroscópica. Clínica de Traumalogía, Medicina del deporte y rehabilitación, Facultad de Medicina, Club Universidad Nacional, A.C.; 1-9.
Noyes FR, Paulos LE, Grood E. Intra-articular reconstruction. Perspectives on graft strength, vasccularization, and immediate motion after replacement. Clinical Orthopaedics and related research 1983; 172: 71-77.
Richmond JC, Gladston J, MacGillivray J. Continuous passive motion after arthroscopically assisted anterior cruciate ligament reconstruction. Comparison of short versus long-term use. Arthoscopy 1991; 7-1: 39-44.
Schiavone Panni A, Denti M, Franzese S, Monteleone M. The bone-ligament junction: a comparison between biological and artificial ACL reconstruction Knee-Surg-Sports-Traumatol-Arthrosc 1993; 1-1: 92.
Shelboune KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med 1990; 18: 292-9.
Shelbourne RD, Gray T. Anterior cruciate ligamente reconstruction with autogenous patellar tendon graft followed by acceletare rehabilitation. A twi-to-nine follow up. Am J Sports Med 1997; 23-6: 786-95.
Strum GM, Friedman M, Fox JM, Ferkel RD, Dorey FH, Del-Pizzo W, Snyder SJ. Acute anterior cruciate reconstruction. Analysis of complications. Clin Orthop 1990; 253: 184-9.
Tovin BJ, Wolf SL, Greenfiel BH, Crouse J, Woodfin BA. Comparison of the effects of exercise on water and on land on the rehabilitation of patients with intra-articular anterior cruciate ligament reconstructions. Phys Ther 1994; 74-8: 710-9.
Treacy SH, Barron OA, Brunet ME, Barrack RL. Assessing the need for extensive supervised rehabilitation following arthroscopic ACL reconstruction Am J Orthop 1997; 26-1: 25-9.
Witherow GE, Bolen SR, Pinezewiski LA. The use of continuous passive motion after arthroscopically assisted anterior cruciate ligament reconstruction. Help or hindrance? Knee-Surg-Sports-Traumatol-Arthrosc 1993; 1-2: 68-70.