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[精英运动员半月板韧带损伤的早期手术治疗]

[Early surgery for menisco-ligamental injuries in elite athletes].

作者信息

Schneider J

机构信息

MVZ Oberstdorf, Trettachstraße 16, 87561, Oberstdorf, Deutschland,

出版信息

Unfallchirurg. 2014 Jan;117(1):19-23. doi: 10.1007/s00113-013-2465-3.

DOI:10.1007/s00113-013-2465-3
PMID:24327229
Abstract

For elite athletes with anterior cruciate ligament (ACL) rupture, surgical management in the acute phase has become widespread practice. After performing a selective review of the literature using PubMed, these results were compared with our own experience. Surgery including concomitant injuries should be performed within the first 48 h. The principal advantage for athletes is the possibility of an earlier return to training and competition. The acute treatment of concomitant injuries may also improve outcome. Treatment in the acute phase, however, may be more demanding for the surgeon than surgery at a later point in time.

摘要

对于前交叉韧带(ACL)断裂的精英运动员,急性期的手术治疗已成为广泛采用的做法。通过使用PubMed对文献进行选择性回顾后,将这些结果与我们自己的经验进行了比较。包括合并伤在内的手术应在48小时内进行。对运动员来说,主要优势是有可能更早恢复训练和比赛。合并伤的急性期治疗也可能改善预后。然而,急性期的治疗对外科医生来说可能比后期手术要求更高。

相似文献

1
[Early surgery for menisco-ligamental injuries in elite athletes].[精英运动员半月板韧带损伤的早期手术治疗]
Unfallchirurg. 2014 Jan;117(1):19-23. doi: 10.1007/s00113-013-2465-3.
2
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本文引用的文献

1
Factors used to determine return to unrestricted sports activities after anterior cruciate ligament reconstruction.前交叉韧带重建术后恢复非限制型运动活动的决定因素。
Arthroscopy. 2011 Dec;27(12):1697-705. doi: 10.1016/j.arthro.2011.09.009.
2
Anterior cruciate ligament tears: conservative or surgical treatment? A critical review of the literature.前交叉韧带撕裂:保守治疗还是手术治疗?文献综述。
Knee Surg Sports Traumatol Arthrosc. 2012 Jan;20(1):48-61. doi: 10.1007/s00167-011-1614-x. Epub 2011 Jul 20.
3
Knee osteoarthritis after anterior cruciate ligament injury: a systematic review.
前交叉韧带损伤后膝关节骨关节炎:一项系统评价
Am J Sports Med. 2009 Jul;37(7):1434-43. doi: 10.1177/0363546509338827.
4
Healing results of meniscal tears left in situ during anterior cruciate ligament reconstruction: a review of clinical studies.前交叉韧带重建术中半月板撕裂原位保留的愈合结果:临床研究综述
Knee Surg Sports Traumatol Arthrosc. 2009 Apr;17(4):396-401. doi: 10.1007/s00167-008-0711-y. Epub 2009 Jan 31.
5
Function, osteoarthritis and activity after ACL-rupture: 11 years follow-up results of conservative versus reconstructive treatment.前交叉韧带断裂后的功能、骨关节炎与活动情况:保守治疗与重建治疗11年随访结果
Knee Surg Sports Traumatol Arthrosc. 2008 May;16(5):442-8. doi: 10.1007/s00167-008-0498-x.
6
Arthrofibrosis following ACL reconstruction--reasons and outcome.前交叉韧带重建术后关节纤维化——原因与结果
Arch Orthop Trauma Surg. 2004 Oct;124(8):518-22. doi: 10.1007/s00402-004-0718-x. Epub 2004 Aug 3.
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Approach to cartilage injury in the anterior cruciate ligament-deficient knee.
Orthop Clin North Am. 2003 Jan;34(1):149-67. doi: 10.1016/s0030-5898(02)00065-2.
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A multidisciplinary study of the healing of an intraarticular anterior cruciate ligament graft in a goat model.山羊模型中关节内前交叉韧带移植物愈合的多学科研究。
Am J Sports Med. 2001 Sep-Oct;29(5):620-6. doi: 10.1177/03635465010290051501.
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Long-term outcome of operative or nonoperative treatment of anterior cruciate ligament rupture--is sports activity a determining variable?前交叉韧带断裂手术或非手术治疗的长期结果——体育活动是一个决定性变量吗?
Int J Sports Med. 2001 May;22(4):304-9. doi: 10.1055/s-2001-13823.
10
[Timing of the surgery of rupture of the anterior cruciate ligament. Effects of acute or delayed surgery on arthrofibrosis rate and work disability].
Unfallchirurg. 2000 Sep;103(9):726-30. doi: 10.1007/s001130050611.