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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:

期数:

2025年04

页码:

222-230

栏目:

康复医学

出版日期:

2025-08-05

文章信息/Info

Title:

The effects of two rehabilitation exercise methods on postoperative patients with lateral patellar compression syndrome

作者:

张元华1; 许开1; 袁昆2; 于成月3; 赵冬临4; 孙建威2; 高小康2; 5; 6

056002 邯郸，华北医疗健康集团峰峰总医院（邯郸市骨科医院）康复科1； 056002 邯郸，华北医疗健康集团峰峰总医院（邯郸市骨科医院）骨科2；300072 天津大学3； 300381 天津体育学院4；300211 天津市天津医院骨科5；300211 天津医科大学骨科临床学院6

Author(s):

Zhang Yuanhua1;  Xu Kai1;  Yuan Kun2;  Yu Chengyue3;  Zhao Donglin4;  Sun Jianwei2;  Gao Xiaokang2;  5;  6.

1Department of Rehabilitation, 2Department of Orthopedics, North China Medical and Health Group Fengfeng General Hospital, Handan 056002, China; 3Tianjin University, Tianjin 300072, China; 4Tianjin University of Sport, Tianjin 300381, China; 5Department of Orthopedics, Tianjin Hospital, Tianjinn 300211, China; 6Clinical College of Orthopedics, Tianjin Medical University, Tianjinn 300211, China

关键词:

髌骨外侧挤压综合征;  康复锻炼;  侧抬腿;  坐位夹球;  内推髌骨

Keywords:

Lateral patellar compression syndrome;  Rehabilitation exercise;  Raising legs straight in the lateral position;  Sitting with legs holding the ball;  Pushing the patella inward

DOI:

10.3877/cma.j.issn.2096-0263.2025.04.005

文献标志码:

A

摘要:

目的 对于髌骨外侧挤压综合征术后的患者，对比观察在康复计划中增加股内侧肌锻炼和内推髌骨与执行常规康复计划的效果。方法 回顾性分析2020年08月至2023年7月通过关节镜下松解外侧支持带治疗髌骨外侧挤压综合征的患者，共47例，男性15例，女性32例，平均年龄（46.07±3.81）岁，分为两组，常规组23例，试验组24例。常规组执行常规下肢术后康复流程，试验组在此基础上，增加侧抬腿、坐位夹球和内推髌骨特殊康复步骤。结果 常规组和试验组术前、术后3月、术后6月和术后12月进行重复测量设计的方差分析，两组间Lysholm、IKDC2000和Kujala评分差异有统计学意义（P＜0.05），不同时间点间差别有统计学意义（P=0.000），组别与时间点间存在交互作用（P＜0.05），各时间点除术前外，两组差别均有统计学意义（P＜0.05）；两组间VAS评分差异无统计学意义（P＞0.05），不同时间点间差别有统计学意义（P=0.000），组别与时间点间不存在交互作用（P＞0.05），各时间点两组差别均无统计学意义P＞0.05）。术后3、6、12月时，试验组的肌肉萎缩率均小于常规组，试验组的主观满意度均高于常规组，试验组总体康复效果优于常规组。结论 髌骨外侧挤压综合征术后的患者，在康复流程中增加股内侧肌锻炼和内推髌骨，术后膝关节功能更好，主观满意度更高。

Abstract:

For patients with lateral patellar compression syndrome after surgery, to compare the effect of increasing the vastus medialis exercise and pushing the patella inward in the postoperative rehabilitation with the routine rehabilitation program. Methods A retrospective analysis was conducted on 47 patients with lateral patellar compression syndrome who underwent arthroscopic release of the lateral retinaculum from August 2020 to July 2023. There were 15 males and 32 females with an average age of (46.07± 3.81) years. The patients were divided into two groups, 23 cases in the conventional group and 24 cases in the experimental group. The routine group carried out the routine postoperative rehabilitation process of lower limbs, and the experimental group added the special rehabilitation steps of raising legs straight in the lateral position, sitting with legs holding the ball, and pushing the patella inward. Results Anova of repeated measurement design was performed before surgery, 3 months after surgery, 6 months after surgery and 12 months after surgery between the conventional group and the experimental group. There were statistically significant differences in Lysholm, IKDC2000 and Kujala scores between the two groups (P<0.05), and there were statistically significant differences at different time points (P=0.000). There was an interaction between the groups and time points (P<0.05), and the difference between the two groups was statistically significant at each time point except before surgery (P<0.05). There was no statistically significant difference in VAS score between the two groups, there was statistically significant difference between different time points (P=0.000), there was no interaction between the groups and time points, and there was no statistically significant difference between the two groups at each time point. At 3, 6 and 12 months after operation, the muscle atrophy rate of the experimental group was lower than that of the conventional group, and the subjective satisfaction of the experimental group was higher than that of the conventional group. The overall rehabilitation effect of the experimental group was better than that of the conventional group. Conclusion In the postoperative patients with lateral patellar compression syndrome, increasing the exercise of the vastus medialis and internal push of the patella in the rehabilitation process can improve the knee function and subjective satisfaction.

备注/Memo

备注/Memo:

基金项目：河北省医学科学研究课题计划（20251364）；邯郸市科学技术研究与发展计划（21422083378）

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更新日期/Last Update: 2026-04-30