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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 429-436
DOI: 10.1055/s-0042-1748970
Artigo Original
Joelho

Protocolo de reabilitação acelerada precoce versus conservadora retardada após reconstrução do ligamento cruzado anterior: Um ensaio prospectivo randomizado[*]

Article in several languages: português | English
Saroj Kumar Patra 
1   Departamento de Trauma e Emergência, AIIMS, Bhubaneswar, Índia
,
Saurav Narayan Nanda 
2   Departamento de Ortopedia, AIIMS, Bhubaneswar, Índia
,
Bishnu Prasad Patro 
2   Departamento de Ortopedia, AIIMS, Bhubaneswar, Índia
,
Nabin Kumar Sahu 
2   Departamento de Ortopedia, AIIMS, Bhubaneswar, Índia
,
Chitta Ranjan Mohnaty 
1   Departamento de Trauma e Emergência, AIIMS, Bhubaneswar, Índia
,
Mantu Jain 
2   Departamento de Ortopedia, AIIMS, Bhubaneswar, Índia
› Author Affiliations Suporte Financeiro Os autores declaram que não receberam apoio financeiro de fontes públicas, comerciais ou sem fins lucrativos para a realização do presente estudo.
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Resumo

Objetivo Comparar a eficácia dos protocolos de reabilitação acelerada precoce e de reabilitação conservadora retardada após reconstrução artroscópica do ligamento cruzado anterior, em termos da escala do International Knee Documentation Committee (IKDC), da dor (segundo a Escala Visual Analógica), da frouxidão e da rigidez no pós-operatório de um ano para determinar o melhor desfecho.

Materiais e Métodos Um total de 80 participantes foram divididos em dois grupos (grupo da acelerada precoce e grupo da conservadora retardada), que foram analisados pelos testes do Qui-quadrado de Pearson e da soma dos postos de Wilcoxon.

Resultados A frouxidão do joelho no pós-operatório de 1 ano foi significativamente mais alta (p = 0,039) no grupo da acelerada precoce do que no grupo da conservadora retardada. Em termos de dor pós-operatória (pela Escala Visual Analógica) e pontuações no IKDC, ambos os grupos apresentaram resultados similares. A amplitude de movimento pós-operatória foi melhor no grupo da acelerada precoce, mas isso não foi estatisticamente significativo (p = 0,36).

Conclusão O protocolo de reabilitação acelerada precoce foi associado com uma frouxidão significativa do joelho em um ano de pós-operatório em comparação com o protocolo de reabilitação conservadora retardada.

Palavras-chave

lesões do ligamento cruzado anterior - reconstrução do ligamento cruzado anterior - reabilitação

* Trabalho desenvolvido no Departamento de Trauma e Emergência, AIIMS, Bhubaneswar, Índia.




Publication History

Received: 15 July 2021

Accepted: 24 September 2021

Article published online:
30 June 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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