68例膝关节内侧副韧带损伤的分型论治

摘要

目的 探讨膝关节内侧副韧带(MCL)损伤的分型论治方法,并观察其临床效果.方法 将68例膝关节内侧副韧带损伤患者根据美国运动医学会的三度分型法,对三型损伤患者应用何天祥教授的理筋手法、自制“舒筋续断散”外敷及早期引入康复锻炼进行治疗,并比较治疗前后的疼痛程度及关节活动范围的变化.结果 Ⅰ度损伤治愈率100％；Ⅱ度损伤治愈率68％,显效32％；Ⅲ度损伤治愈率33％,显效44％,无效23％.结论 对膝关节内侧副韧带损伤采用何氏理筋手法,加自制舒筋续断散外敷及早期引入康复锻炼进行分型论治,能取得良好的治疗效果,可供同行参考借鉴.%Objective To investigate the treatment methods and clinical effect on medial collateral ligament injury. Methods 68 patients with knee medial collateral ligament injury were grouped according to the American College of Sports Medicine degrees. For the three degrees of injury patients, the unique tendon practice, which was created by Professor He Tianxiang of our hospital, was applied, with self—made "Shu jin xu duan" powder for external use and the early introduction of rehabilitation exercise therapy. The degree of pain and the changes in the scope of joint activities in the three groups of patients before and after treatment were compared. Results The cure rate for degree Ⅰ injury was 100% ; the cure rate for degree Ⅱ injury was 68%, with an effective rate of 32%; the cure rate for degree Ⅲ was 33%, with an effective rate of 44% and an invalid rate of 23%. Conclusion The treatment on the medial collateral ligament injury which was created by Professor He Tianxiang has a good therapeutic effect.