目的:本病例报告详细描述了髌腱断裂手术治疗后的康复和锻炼计划,并提供了术后治疗目标和建议。目的是加快外科手术后恢复日常生活和体育参与活动。此外,本报告分析了这种情况下髌腱断裂的原因。
方法:病例报告。
方法:患者,一名25岁的男性休闲运动员(身高:184厘米;体重:80公斤;右手占主导地位),在无相反的运球转弯过程中,着陆于左下肢时,髌腱完全断裂。
■实施了结构良好的康复计划。第5周被动膝关节屈曲运动范围(ROM)超过90°,第16周完全恢复。在第19周进行了第二次手术以移除减压丝,患者在术后7个月时逐步恢复基本的体能训练和专门训练.
方法:进行形态测量和功能测试,以测量整个术后过程中康复的有效性。
结论:早期手术修复和术后立即康复计划对膝关节ROM有积极影响,函数,和肌肉力量。该患者髌腱断裂的原因包括长期不受控制的髌腱病,踝关节和髋关节的活动性受损,着陆技术差,肌肉力量失衡。
OBJECTIVE: This case report describes in detail a rehabilitation and exercise program following surgical treatment of patellar tendon rupture and offers postoperative therapeutic goals and recommendations, with the aim of expediting the resumption of activities of daily living and sports participation following the surgical procedure. In addition, this report analyzes the cause of the patellar tendon rupture in this case.
METHODS: Case report.
METHODS: The patient, a 25-year-old male recreational athlete (height: 184 cm; weight: 80 kg; right-hand dominant), experienced a complete rupture of the patellar tendon upon landing on the left lower extremity during an unopposed dribble turn.
UNASSIGNED: A well-structured rehabilitation program was implemented. Passive knee flexion range of motion (ROM) exceeded 90° at week 5 and was fully recovered at week 16. A second surgery was performed at week 19 to remove the decompression wires, and the patient progressively resumed basic physical and specialized training at 7 months post-surgery.
METHODS: Morphometric and functional tests were performed to measure the effectiveness of rehabilitation throughout the postoperative process.
CONCLUSIONS: Early surgical repair and an immediate postoperative rehabilitation program have a positive impact on knee ROM, function, and muscle strength. The causes of the patellar tendon rupture in this patient included long-standing uncontrolled patellar tendinopathy, impaired mobility of the ankle and hip joints, poor landing technique, and muscle strength imbalances.