Bowen Thomas R, Feldmann Daniel D, Miller Mark D
Department of Orthopaedic Surgery and Sports Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822-2920, USA.
Clin Sports Med. 2004 Jul;23(3):381-93, viii-ix. doi: 10.1016/j.csm.2004.03.001.
Much has been written in the sports medicine literature regarding return to competition following anterior cruciate ligament reconstruction; however, little scientific work has been done regarding the return to competition following meniscal surgery or cartilage surgery. This article reviews the basic science of meniscal surgery and cartilage surgery in an attempt to promote rational rehabilitative protocols rooted in scientific investigation. A twofold approach is used. One approach is from a biologic standpoint; that is, when are the repaired tissues healed enough to withstand physiologic activity? The second approach is from a rehabilitative standpoint; when is the patient strong enough to play without recurrent injury?
体育医学文献中已有大量关于前交叉韧带重建后恢复比赛的内容;然而,关于半月板手术或软骨手术后恢复比赛的科学研究却很少。本文回顾了半月板手术和软骨手术的基础科学,试图推广基于科学研究的合理康复方案。采用了双重方法。一种方法是从生物学角度;也就是说,修复的组织何时愈合到足以承受生理活动?第二种方法是从康复角度;患者何时强壮到足以比赛而不再受伤?