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| Effect of Phased Rehabilitation Training in Patients Undergoing Arthroscopic LARS Artificial Ligament Reconstruction |
| YANG Nan, YU Jiangfei, LI Li, SONG Ying, JIN Yigao, ZHU Peili, DONG Yijun |
| Department of Sports Medicine, Nanyang Traditional Chinese Medicine Hospital, Nanyang Henan 473000 |
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Abstract 【Objective】 To evaluate the effectiveness of a phased rehabilitation program in patients undergoing arthroscopic LARS artificial ligament reconstruction. 【Methods】 A total of 78 patients who underwent arthroscopic anterior cruciate ligament (ACL) reconstruction with LARS artificial ligament at Nanyang Hospital of Traditional Chinese Medicine from January 2023 to September 2025 were enrolled and randomly divided into an observation group and a control group, each consisting of 39 patients. The control group received standard postoperative care, routine rehabilitation exercises, and health education, while the observation group received a phased rehabilitation program in addition to the same interventions as the control group. Postoperative visual analog scale (VAS) scores, Lysholm knee function score (Lysholm score), manual muscle testing (MMT) grades, knee circumference, swelling resolution time, and adverse events were compared between the two groups immediately after surgery and at 3 months postoperatively. 【Results】 At 3 months post-surgery, both groups showed decreased VAS scores and improved Lysholm scores; however, the observation group had significantly lower VAS scores and higher Lysholm scores than the control group (all P<0.05). Compared to immediately after surgery, MMT grades in both groups got improved, and the observation group demonstrated better MMT grades than the control group (all P<0.05). At 3 months post-surgery, the observation group had smaller knee circumference and shorter swelling resolution time than the control group (all P<0.05). The overall incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). 【Conclusion】 In patients undergoing arthroscopic LARS artificial ligament reconstruction, a phased rehabilitation program can significantly reduce pain, promote recovery of knee function and muscle strength, decrease knee circumference, shorten swelling resolution time, and is associated with high safety.
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Received: 11 February 2026
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[1] 庄继川,郭氧. LARS人工韧带结合自体腱重建ACL的早期临床疗效与二次关节镜探查情况[J]. 中国骨与关节损伤杂志,2024,39(8):814-819. [2] 吴凌霄,乔志,于洋,等. 关节镜下三种移植物重建后交叉韧带的疗效比较[J]. 中华创伤骨科杂志,2024,26(6):512-518. [3] 景青,王佩佩,宗倩倩. Pro-kin平衡系统联合血流限制训练对前交叉韧带重建术后患者膝本体感觉、膝关节功能及运动协调性的影响[J]. 医学临床研究,2024,41(6):878-881. [4] 张暐,戴卉,缪小红,等. 阶梯式语言康复训练对老年脑卒中后运动性失语患者言语功能的影响[J]. 中国听力语言康复科学杂志,2025,23(6):637-640. [5] 戚军,韩康,刘彬,等. 阶梯式康复训练联合电针治疗在老年高血压脑出血患者术后运动功能恢复中的应用[J]. 中华老年心脑血管病杂志,2025,27(11):1522-1525. [6] 赵书会,范帆,李彤. 阶梯式康复训练结合音乐疗法在腰椎间盘突出症术后患者中的应用[J]. 中华现代护理杂志,2023,29(23):3194-3198. [7] 白伦浩,陈疾忤,陈坚,等. 前交叉韧带损伤临床诊疗循证指南(2022版)[J]. 中华创伤杂志,2022,38(6):492-503. [8] 宋青青,马立峰,郭艾,等. 术中使用止血带对膝关节镜手术后早期关节功能及生活能力评分影响的研究[J]. 中国医刊,2024,59(12):1347-1349. [9] 张英,彭芬芬,郑翠玉,等. 徒手肌力评估联合三级平衡评定指导下的康复运动方案在心脏术后患者康复中的应用[J]. 现代临床护理,2023,22(6):53-59. [10] 徐畅,马殿栋,唐子滨. 自体半腱肌混编LARS人工韧带优化点与等长点重建在治疗中老年前交叉韧带损伤中的比较[J]. 中国老年学杂志,2023,43(6):1347-1350. [11] 李勇军. 下肢整体康复训练联合本体感觉训练在踝关节骨折术后患者中的应用效果[J]. 医学临床研究,2025,42(11):1962-1965. [12] 南方,肖倩,田梓蓉,等. 基于德尔菲法喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案的构建[J]. 中华现代护理杂志,2024,30(25):3439-3444. [13] 赵海洋,周琴,刘佳琦,等. 自制静态渐进性支具阶梯式治疗烧伤后瘢痕挛缩致手屈曲功能障碍的效果[J]. 中华烧伤与创面修复杂志,2025,41(2):155-162. [14] 靳雨,陈卉. 阶梯式言语康复联合抗阻运动规律康复训练对帕金森病患者的影响[J]. 国际护理学杂志,2023,42(19):3510-3515. [15] 罗玉红,蒋慧琴,昌耘冰,等. 阶梯式双重任务训练对老年全膝关节置换术后步态与平衡功能的干预效果观察[J]. 中国骨与关节损伤杂志,2025,40(10):1020-1024. |
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