Консервативное лечение острых повреждений задней крестообразной связки у спортсменов

Цель исследования – оценить результаты консервативного лечения изолированных разрывов задней крестообразной связки (ЗКС) II и III степени у спортсменов.

Материалы и методы. В исследование были включены 36 пациентов, занимающихся спортом на профессиональном или полупрофессиональном уровне, с изолированным разрывом ЗКС, проходивших консервативное лечение в период с 2012 по 2020 год. Консервативное лечение изолированных повреждений ЗКС включало иммобилизацию в ортезе с задней поддержкой голени и реабилитационную программу в зависимости от функционального состояния коленного сустава.

Результаты. Через 2 года после травмы средний счет по шкале Тегнера составил 9 (5–10) баллов (р=0,42). 32 (89%) пациента вернулись к прежнему уровню спортивной активности, средний счет по шкале Тегнера составил у них 9 (7–10) баллов. Средний срок возвращения к спортивным тренировкам составил 10,6 недели (4–27 недель), для полного возврата к спорту потребовалось 16,4 недели (10–40 недель).

Вывод. Использование первичного консервативного метода лечения изолированных повреждений ЗКС II и III степени по классификации Хьюстона дает отличный функциональный результат с возможностью возвращения к прежним спортивным нагрузкам.

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