UNASSIGNED: To evaluate the therapeutic and graft maturation effects of ESWT in hamstring autograft ACLR.
UNASSIGNED: Randomized controlled trial; Level of evidence, 1.
UNASSIGNED: Between May 18, 2019, and September 20, 2019, we randomly assigned 30 patients who met study inclusion criteria to 2 groups. Patients in the control group followed a 5-week advanced rehabilitation training program (30 minutes/session, 5 times/week) starting at 3 months postoperatively. In the ESWT group, together with the 5-week advanced rehabilitation training, radial ESWT was applied once a week for 5 weeks. Functional scores (Lysholm, International Knee Documentation Committee, and Tegner scores), KT-1000 arthrometer knee laxity measurement, and magnetic resonance imaging scans were assessed at 3 months (baseline), 6 months, and 24 months postoperatively. To evaluate graft maturation, we assessed the graft signal-to-noise quotients (SNQs) of the tibial, intra-articular, and femoral sides on magnetic resonance imaging scans. Data were compared between the ESWT and control groups.
UNASSIGNED: In total, 26 patients (13 with ESWT, 13 controls) were assessed. There were no significant between-group differences on any assessment at baseline, and no significant within-group or between-group differences were found in knee laxity at any point. At 24-month follow-up, the ESWT group had significantly higher Lysholm and Tegner scores compared with the controls (P = .012 and .017, respectively). Regarding graft maturation, at 6-month follow-up, the SNQ of the tibial intraosseous graft was significantly lower in the ESWT group versus controls (P = .006), but no differences were detected at the femoral intraosseous graft (P = .321) or the intra-articular graft (P = .314). At 24-month follow-up, the SNQs of the femoral intraosseous graft and intra-articular graft were significantly lower in the ESWT group versus controls (P = .020 and .044, respectively) but no difference was found at the tibial intraosseous graft (P = .579).
UNASSIGNED: Both enhanced graft maturation and improved functional scores at 24-month follow-up were seen in patients who received radial ESWT during rehabilitation after hamstring autograft ACLR.
UNASSIGNED: ChiCTR1900022853 (Chinese Clinical Trial Registry).
UNASSIGNED:评估ESWT在自体肌腱移植ACLR中的治疗和移植物成熟效果。
未经批准:随机对照试验;证据水平,1.
UNASSIGNED:在2019年5月18日至2019年9月20日之间,我们将30名符合研究纳入标准的患者随机分为两组。对照组患者遵循为期5周的高级康复训练计划(30分钟/次,5次/周)从术后3个月开始。在ESWT组中,加上为期5周的高级康复训练,放射状ESWT每周应用一次,共5周。功能评分(Lysholm,国际膝关节文献委员会,和Tegner得分),KT-1000关节仪膝关节松弛度测量,和磁共振成像扫描在3个月(基线)进行评估,6个月,术后24个月。为了评估移植物成熟,我们评估了胫骨的移植物信噪比(SNQs),关节内,和磁共振成像扫描的股骨侧。比较ESWT组和对照组的数据。
未经批准:总共,26例患者(13例ESWT,13个对照)进行了评估。基线时的任何评估均无显着组间差异,在任何时间点,膝关节松弛均未发现明显的组内或组间差异。在24个月的随访中,与对照组相比,ESWT组的Lysholm和Tegner评分显著较高(分别为P=.012和.017).关于移植物成熟,在6个月的随访中,与对照组相比,ESWT组的胫骨骨内移植物的SNQ明显降低(P=.006),但是在股骨骨内移植物(P=.321)或关节内移植物(P=.314)中未检测到差异。在24个月的随访中,ESWT组的股骨骨内移植物和关节内移植物的SNQs显著低于对照组(分别为P=.020和.044),但胫骨骨内移植物的SNQs无差异(P=.579).
UNASSIGNED:在24个月的随访中,在自体肌腱移植ACLR后的康复期间接受放射状ESWT的患者中观察到了增强的移植物成熟和改善的功能评分。
未经批准:ChiCTR1900022853(中国临床试验注册中心)。