scholarly journals Knee Dislocation: Comprehensive Rehabilitation Program after Two-Stage Ligament Reconstruction

2020 ◽  
Author(s):  
Olga Łakomy ◽  
Robert Trybulski ◽  
Artur Gołaś ◽  
Aleksandra Żebrowska
Keyword(s):  
Ligament Reconstruction ◽  
Knee Dislocation ◽  
Rehabilitation Program ◽  
Two Stage ◽  
Comprehensive Rehabilitation

A comprehensive rehabilitation program for posterior instability of the shoulder

2017 ◽  
Vol 30 (2) ◽  
pp. 182-192 ◽  
Author(s):  
Lyn Watson ◽  
Simon Balster ◽  
Sarah Ann Warby ◽  
Jackie Sadi ◽  
Greg Hoy ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
Posterior Instability ◽  
Comprehensive Rehabilitation

scholarly journals The knee in congenital femoral deficiency and its implication in limb lengthening: a systematic review

2021 ◽  
Vol 6 (7) ◽  
pp. 565-571
Author(s):  
Chilan Bou Ghosson Leite ◽  
Patricia Moreno Grangeiro ◽  
Diego Ubrig Munhoz ◽  
Pedro Nogueira Giglio ◽  
Gilberto Luis Camanho ◽  
...  
Keyword(s):  
Lower Limb ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Knee Dislocation ◽  
Limb Lengthening ◽  
Cruciate Ligaments ◽  
Knee Ligament ◽  
Rotatory Instability ◽  
Posterolateral Rotatory Instability ◽  
Knee Ligament Reconstruction

Congenital femoral deficiency (CFD) is a rare disorder with several limb anomalies including limb shortening and knee cruciate ligament dysplasia. Limb lengthening is usually performed to correct lower limb discrepancy. However, complications, such as knee subluxation/dislocation, can occur during this treatment. Here, we explore CFD knee abnormalities and knee dislocation during limb elongation, discussing when and whether knee ligament reconstruction prior to the lengthening would be necessary to reduce the risk of knee dislocation. There is not enough support in the literature for the routine reconstruction of cruciate ligaments in CFD patients. Of note, in cases of severe anteroposterior or posterolateral rotatory instability, cruciate ligament reconstruction might be considered to decrease the risk of knee subluxation/dislocation during the lengthening treatment. Cite this article: EFORT Open Rev 2021;6:565-571. DOI: 10.1302/2058-5241.6.200075

scholarly journals The Effects of a Comprehensive Rehabilitation Program Involving Traditional Chinese Medicine in Severe and Critical COVID-19 Patients: a Clinical Study

2021 ◽  
Author(s):  
Yi Ren ◽  
Yujin Wang ◽  
Huabao Liu ◽  
Fangzheng Mou ◽  
Xiaofeng Yan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rehabilitation Program ◽  
Ct Scans ◽  
Walking Test ◽  
Quality Of Life Scale ◽  
Life Scale ◽  
St George's Respiratory Questionnaire ◽  
Comprehensive Rehabilitation ◽  
Tcm Syndrome

Abstract Background: A year ago, a new type of coronavirus emerged. Once treated for severe and critical COVID-19 infections, patients are discharged from the hospital for further treatment and rehabilitation. The aim of this study was to evaluate the efficacy and safety of a newly developed comprehensive rehabilitation program based on traditional Chinese medicine (TCM) in the rehabilitation of patients with severe and critical COVID-19.Methods: We recruited a total of 72 patients who had suffered from severe and critical COVID-19 infections and were undergoing rehabilitation in Chongqing, China. A comprehensive rehabilitation program was formulated according to the TCM syndromes of these patients. Specific treatments included oral TCM, Baduanjin, Moxibustion, Acupoint application, and foot baths. Prior to the initiation of treatment, and four weeks after the initiation of treatment, we carried out a range of assessments, including the TCM Syndrome curative effect score, the modified Medical Research Council (mMRC) dyspnea score, the St. George's Respiratory Questionnaire, the Short Form (SF)-36 Quality of Life Scale, and the 6-minute walking test. We also carried out CT scans, serology tests. Statistical analysis was also conducted to evaluate the efficacy and safety of TCM on severe and critical COVID-19 patients.Results: Analysis showed that there were significant differences (P < 0.05) when compared before and after four weeks of TCM treatment, in terms of the TCM syndrome curative effect score, mMRC dyspnea score, St. George's Respiratory Questionnaire score, SF-36 Quality of Life Scale score, and the 6-minute walking test. We also identified significant differences (P < 0.05) between these two timepoints, with regards to the neutrophil ratio, lymphoid cell ratio, lymphocytes, platelets, red blood cells, and hemoglobin. There were no significant differences when compared between the two timepoints with regards to white blood cells and neutrophils (P > 0.05). The efficacy of chest CT scans was 83.9%. Logistic regression showed that the CT scans of patients who did not take the TCM decoction did not improve significantly. The higher a patient’s score on the 6-minute walking test, the higher the probability of no significant improvement on the CT scan.Conclusions: A comprehensive rehabilitation program based on TCM improved a number of clinical parameters in patients suffering from severe and critical COVID-19 infections, including quality of life, clinical symptoms, exercise endurance, and respiratory function. TCM also enhanced lymphocytes, lymphocyte ratio, platelet, red blood cell (RBC) count, and hemoglobin content. TCM also appeared to contribute to the absorption of lung lesions.

scholarly journals Factors Affecting Subjective and Objective Outcomes and Return to Play in Anterior Cruciate Ligament Reconstruction: A Retrospective Cohort Study

Joints ◽  
2018 ◽  
Vol 06 (01) ◽  
pp. 023-032 ◽  
Author(s):  
Federica Rosso ◽  
Davide Bonasia ◽  
Umberto Cottino ◽  
Simone Cambursano ◽  
Federico Dettoni ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Rehabilitation Program ◽  
Return To Play ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate ◽  
Objective Outcomes ◽  
Subjective Outcomes

Purpose To analyze the prognostic factors influencing subjective and objective outcomes and return to play (RTP) after anterior cruciate ligament reconstruction (ACL-R). Methods Primary ACL-Rs using a transtibial technique performed between 2008 and 2012 were included. Data regarding patients, surgery, sports, and rehabilitation, including an on-field rehabilitation (OFR) and duration of the rehabilitation program, were collected. The International Knee Documentation Committee (IKDC) subjective and objective evaluation forms, and the Knee Injury and Osteoarthritis Outcome Score and Lysholm questionnaires were used for the assessment of subjective and objective outcomes. The Subjective Patient Outcome for Return to Sports and ACL–return to sport after injury (RSI) scores were used for RTP evaluation. Several potential predictors of outcome were tested with a univariate analysis. All the variables with p < 0.1 were retested in a logistic regression model to evaluate their association with the outcomes. Results In total, 176 cases were included with an average follow-up of 44.1 months. Of the patients, 92.2% were rated as normal or nearly normal at the IKDC evaluation. In addition, 90.1% of the patients returned to sport, with 57.6% returning to the same preinjury level. Objective outcomes were negatively influenced by late rehabilitation (odds ratio [OR] = 2.75). Performing an OFR phase during the rehabilitation was associated with better subjective outcomes (OR = 2.71). Length of rehabilitation strongly influenced the RTP rate (OR = 13.16). Conversely, higher ACL-RSI score was inversely related to RTP. Objective IKDC score was inversely related to the ACL-RSI (OR = 0.31), whereas subjective score was correlated with both the total ACL-RSI score (OR = 0.15) and the level of activity (OR = 0.20). Conclusion This study confirmed the role of rehabilitation on subjective and objective outcomes and on RTP. Particularly, the complete adherence to a rehabilitation program, including an OFR phase, resulted in better subjective outcomes and higher RTP rate. The relationship between psychological factors, measured through the ACL-RSI score, and RTP was confirmed. Level of Evidence Level III, observational study without a control group.

scholarly journals Timing of Repair or Reconstruction after Knee Dislocation

2019 ◽  
Vol 33 (04) ◽  
pp. 335-338
Author(s):  
Gregory C. Fanelli
Keyword(s):  
Ligament Reconstruction ◽  
Head Injuries ◽  
Knee Dislocation ◽  
Organ System ◽  
Initial Assessment ◽  
Surgical Timing ◽  
Knee Ligament ◽  
Knee Ligament Reconstruction ◽  
Assessment And Treatment ◽  
Injured Knee

AbstractThe multiple ligament injured knee (knee dislocation) is, often times, part of a multisystem injury complex that can include not only injuries to knee ligaments but also to blood vessels, skin, nerves, bones (fractures), head injuries, and other organ system trauma. These additional injuries can affect surgical timing for knee ligament reconstruction and also affect the results of the treatment. This article will present the author's approach and experience in the initial assessment and treatment of the acute multiple ligament injured (dislocated) knee, and also present considerations in the treatment of chronic multiple ligament injured knee.

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