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中华关节外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (04) : 538 -544. doi: 10.3877/cma.j.issn.1674-134X.2024.04.014

综述

膝关节前交叉韧带重建术前康复治疗的研究进展
杨滢甄1, 黄子荣2, 梁家敏1, 黄晓芳1, 胡艳2, 朱伟民1,()   
  1. 1. 518035 深圳市第二人民医院(深圳大学附属第一医院);518061 深圳大学医学部
    2. 518035 深圳市第二人民医院(深圳大学附属第一医院)
  • 收稿日期:2024-03-17 出版日期:2024-08-01
  • 通信作者: 朱伟民
  • 基金资助:
    广东省基础与应用基础研究基金(2023A1515010371); 深圳市科技计划资助(JCYJ20210324102607021); 深圳市科技计划资助(GJHZ20220913143201002); 深圳市第二人民医院2023年院级临床研究项目(2023yjlcyj030); 深圳大学医工交叉研究基金(2023YG007); 深圳市第二人民医院2024年院级临床研究项目(20243357002)

Advances in preoperative rehabilitation after anterior cruciate ligament reconstruction of knee

Yingzhen Yang1, Zirong Huang2, Jiamin Liang1, Xiaofang Huang1, Yan Hu2, Weimin Zhu1,()   

  1. 1. Department of Sports Medicine, Shenzhen Second People’s Hospital/ the First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen 518035, China;Shenzhen University Health Science Center, Shenzhen 518061, China
    2. Department of Sports Medicine, Shenzhen Second People’s Hospital/ the First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen 518035, China
  • Received:2024-03-17 Published:2024-08-01
  • Corresponding author: Weimin Zhu
引用本文:

杨滢甄, 黄子荣, 梁家敏, 黄晓芳, 胡艳, 朱伟民. 膝关节前交叉韧带重建术前康复治疗的研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(04): 538-544.

Yingzhen Yang, Zirong Huang, Jiamin Liang, Xiaofang Huang, Yan Hu, Weimin Zhu. Advances in preoperative rehabilitation after anterior cruciate ligament reconstruction of knee[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(04): 538-544.

前交叉韧带损伤在年轻活跃的患者中很常见。当ACL完全断裂时,需要进行关节镜下前交叉韧带重建(ACLR)。尽管ACLR术式已经很成熟,通过手术能够修复结构缺陷,但患者术后面临膝关节肌肉力量、功能和耐力损伤,导致部分患者未能回到受伤前的运动水平。事实上,除了手术本身,康复对患者的预后也具有重要影响。研究表明,通过术前康复,可以降低手术风险,提高手术效果,帮助患者尽快恢复到不受限制的体育活动。然而目前研究者主要关注术后康复。与常规术后康复相比,对接受术前康复的患者的研究较少。本文通过归纳总结前交叉韧带重建术前康复治疗的相关临床研究成果,旨在为该病的康复诊疗方案提供新的思路与指导。

Anterior cruciate ligament injury is common in young and active patients. When the ACL is completely ruptured, arthroscopic anterior cruciate ligament reconstruction (ACLR) is needed. Although the ACLR procedure is mature and can repair structural defects, patients face knee muscle strength, function and endurance injury after surgery, resulting in some patients unable to return to the exercise level before the injury. In fact, in addition to the operation itself, rehabilitation also has an important impact on the prognosis of patients. Studies have shown that preoperative rehabilitation can reduce the risk of operation, improve the effect of operation, and help patients return to unrestricted physical activity as soon as possible. However, at present, researchers mainly focus on postoperative rehabilitation. Compared with routine postoperative rehabilitation, there are fewer studies on patients undergoing preoperative rehabilitation. This paper summarized the relevant clinical research results of rehabilitation treatment before anterior cruciate ligament reconstruction, in order to provide new ideas and guidance for the rehabilitation diagnosis and treatment of the disease.

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