Abstract: Objective To explore the effect of manipulation release combined intra-articular injection on joint function in stiff joint patients after anterior cruciate ligament reconstruction （ACLR）. Methods Fifty-nine stiff joint patients after ACLR were analyzed retrospectively, who were assigned to the control group and the study group according to whether received intra-articular injection, and there were 27 patients in the control group and 32 patients in the study group. Patients in the control group received manipulation release only, and patients in the study group received intra-articular injection first and then received manipulation release. Active range of motion （ROM）, visual analog scale （VAS） scores in motion, Lysholm scores, the international knee documentation committee （IKDC） scores before and 2, 4 and 8 w after treatment were recorded, and VAS scores during treatment were recorded at the same time. Results Active ROM, Lysholm scores and IKDC scores 2, 4 and 8 w after treatment were significantly higher in the study group than those in the control group （P < 0.05）, and VAS scores in motion during and 2, 4 and 8 w after treatment were significantly lower in the study group than those in the control group （P<0.05）. Conclusion Manipulation release combined intra-articular injection could decrease pain, increase ROM and improve articular function in stiff joint patients after ACLR, which is worth promoting in clinical work.

Key words: manipulation release, intra-articular injection, anterior cruciate ligament reconstruction, stiff joint

摘要： 目的 探讨手法松解联合关节腔注射对前交叉韧带（ACL）重建术后关节僵硬患者关节功能的影响。方法 回顾分析我院ACL重建术后关节僵硬性手法松解患者59例,根据是否行关节腔注射分成观察组和对照组,其中对照组27例,观察组32例。对照组患者行手法松解,观察组患者先行关节腔内注射,再行手法松解。记录两组患者治疗前和治疗后2周、4周、8周主动关节活动度（ROM）、活动时疼痛视觉模拟评分（VAS）、Lysholm膝关节评分和国际膝关节文献委员会（IKDC）膝关节评分,同时记录治疗时患者疼痛VAS评分。结果 观察组患者治疗后2周、4周和8周ROM、Lysholm评分和IKDC评分均显著高于对照组患者（P<0.05）。观察组患者治疗时、治疗后2 w、4 w和8 w 患膝疼痛VAS评分均显著低于对照组患者（P<0.05）。结论 手法松解联合关节腔注射可减轻ACL重建术后关节僵硬患者疼痛,增加膝关节活动度,改善膝关节功能。

关键词: 手法松解, 关节腔注射, 前交叉韧带重建术, 关节僵硬