Evans Stephanie, Shaginaw Justin, Bartolozzi Arthur
Aria Health Department of Physical Therapy, Fairless Hills, PA, USA.
Aria 3B Orthopaedic Institute, Philadelphia, PA, USA.
Int J Sports Phys Ther. 2014 Apr;9(2):268-73.
Injury to the anterior cruciate ligament (ACL) is the most common ligamentous injury, ranging from up to 200,000 injuries per year in the United States. Sports such as soccer, football, and skiing have been reported to be high-risk sports that can cause injury to the ACL when compared to other sport activities. Due to the high incidence of ACL injuries, approximately 100,000 ACL reconstructions are performed each year. Although conservative treatment can potentially be successful in the appropriate population, patients with goals of returning to high levels of sport activity may not be successful with conservative treatment. Even though reconstruction is the most common treatment for ACL rupture, there remains debate in the literature regarding the optimal timing of surgery. Therefore, the purpose of this clinical commentary is to review the available evidence to provide insight into the optimal timing of ACL reconstruction.
前交叉韧带（ACL）损伤是最常见的韧带损伤，在美国每年多达200,000例损伤。据报道，与其他体育活动相比，足球、橄榄球和滑雪等运动是会导致ACL损伤的高风险运动。由于ACL损伤的高发生率，每年大约进行100,000例ACL重建手术。尽管保守治疗在合适的人群中可能会取得成功，但对于那些旨在恢复高水平体育活动的患者来说，保守治疗可能并不成功。尽管重建是ACL断裂最常见的治疗方法，但文献中关于手术的最佳时机仍存在争议。因此，本临床评论的目的是回顾现有证据，以深入了解ACL重建的最佳时机。
