Damage of the knee posterior cruciate ligament: biomechanics, basic diagnostics, treatment and secondary osteoarthritis prevention directions

Korolev, A. V.; Afanasyev, A.P.; Ильин, Д. О.; Gerasimov, D. O.; Ryazantsev, M.S.; Kadantsev, Pavel; Зарипов, А. Р.

doi:10.17116/hirurgia2020091130

Khir. Z. im. N.I. Pirogova

2020

DOI: 10.17116/hirurgia2020091130

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Damage of the knee posterior cruciate ligament: biomechanics, basic diagnostics, treatment and secondary osteoarthritis prevention directions

A. V. Korolev

A.P. Afanasyev²,

Д. О. Ильин³

et al.

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Cited by 3 publications

References 65 publications

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Effect of Rehabilitation Training Based on Automatic Extraction Algorithm on Knee Anterior Cruciate Ligament Injury Caused by Exercise

Zhu

Gao

2022

Scanning

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Objective. In order to explore the effect of rehabilitation training based on automatic extraction algorithm on knee anterior cruciate ligament reconstruction under arthroscopy.Methods. 81 patients with anterior cruciate ligament injury were randomly divided into observation group (42 cases) and control group (39 cases). The control group was given routine nursing, while the observation group was given rehabilitation training guidance based on automatic extraction algorithm. Lysholm score, HSS score, and range of motion of knee joint extension and flexion were used to evaluate the knee joint function before and after operation in the two groups. The quality of life of the two groups was evaluated by the concise health survey scale. The results showed that 50% of deep venous thrombosis occurred on the first day and 30% on the second day after operation. There was no significant difference in preoperative Lysholm score, HSS score, and knee flexion activity between the observation group and the control group ( P > 0.01 ). After 1-month, 5-month, and 1-year follow-up, the effective rate of knee function recovery in the observation group was significantly better than that in the control group. Lysholm score, HSS score, and knee extension and flexion activity were significantly different from those in the control group ( P < 0.01 ). The postoperative SF-36 quality of life score of the observation group was significantly higher than that of the control group, indicating that the quality of life of the observation group was significantly better than that of the control group. Therefore, early postoperative rehabilitation training guidance based on automatic extraction algorithm can improve local blood circulation and improve knee function and reduce pain, so as to promote the early recovery of patients.

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Effect of Rehabilitation Training Based on Automatic Extraction Algorithm on Knee Anterior Cruciate Ligament Injury Caused by Exercise

Zhu

Gao

2022

Scanning

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Using motion capture analysis for assessing locomotion after arthroscopic anterior cruciate ligament reconstruction

Mozheyko

Павлов

Chistov

et al. 2021

BRSMU

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An anterior cruciate ligament tear is one of the most common injuries to the capsular ligament apparatus of the knee necessitating operative treatment. Postoperatively, patients with anterior cruciate ligament injuries develop a pathologic gait pattern. Today, innovative diagnostic and rehabilitation methods for patients with gait disturbances associated with such injuries are in high demand. Below, we present a case of using 3D motion capture analysis for the personalized assessment of gait function in a patient with the reconstructed anterior cruciate ligament two months after surgery. The analysis revealed that the patient had a slower, shorter, wider step with longer step intervals than the healthy subject; the flexion and extension amplitude in the large joints of the operated leg was smaller than in the healthy contralateral leg. Motion capture analysis can be used to assess the postoperative dynamics in patients with anterior cruciate ligament tears.

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Postoperative Multimodal Approach to Pain Control in Anterior Cruciate Ligament Autograft Surgery: A Single-Center Series

Cheykin,

Goncharov,

Koval

et al. 2024

Surgeries

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Background: Anterior cruciate ligament (ACL) injuries are prevalent and represent a significant socioeconomic burden, as ACL injuries account for nearly 60% of all knees joint traumas. The purpose of this study is to emphasize the role of arthroscopic ACL reconstruction and the challenges in postoperative pain management. Methods: This study involved 90 patients undergoing ACL reconstruction, categorized into three groups receiving different pain management protocols. The focus was on evaluating the efficacy of multimodal analgesia using lidocaine and magnesium sulfate. The main outcome was pain assessment using the Visual Analog Scale (VAS). Results: Patients receiving fentanyl, lidocaine, and magnesium sulfate (FLM) reported significantly lower pain scores in the postoperative period. Minimal use of additional opioids was observed, suggesting effective pain management with the multimodal analgesia regimen. Conclusions: The study showed that multimodal analgesia, including FLM, effectively manages postoperative pain following ACL reconstruction. This study showed significantly lower pain scores with FLM, highlighting its potential in early postoperative pain relief. Future research should consider long-term outcomes and cost-effectiveness, emphasizing the need for more comprehensive evaluations of multimodal analgesia’s impact.

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Damage of the knee posterior cruciate ligament: biomechanics, basic diagnostics, treatment and secondary osteoarthritis prevention directions

Cited by 3 publications

References 65 publications

Effect of Rehabilitation Training Based on Automatic Extraction Algorithm on Knee Anterior Cruciate Ligament Injury Caused by Exercise

Effect of Rehabilitation Training Based on Automatic Extraction Algorithm on Knee Anterior Cruciate Ligament Injury Caused by Exercise

Using motion capture analysis for assessing locomotion after arthroscopic anterior cruciate ligament reconstruction

Postoperative Multimodal Approach to Pain Control in Anterior Cruciate Ligament Autograft Surgery: A Single-Center Series

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