急性前交叉韧带撕裂的治疗：随机试验 5 年结果。
Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial.
机构信息
Department of Orthopaedics, Clinical Sciences Lund, Lund University, Sweden.
Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
出版信息
Br J Sports Med. 2015 May;49(10):700. doi: 10.1136/bjsports-2014-f232rep.
STUDY QUESTION
In young active adults with an acute anterior cruciate ligament (ACL) rupture, do patient reported or radiographic outcomes after five years differ between those treated with rehabilitation plus early ACL reconstruction and those treated with rehabilitation and optional delayed ACL reconstruction?
SUMMARY ANSWER
At five years, patients assigned to rehabilitation plus early ACL reconstruction did not differ significantly in patient reported or radiographic outcomes from those assigned to initial rehabilitation with the option of having a later reconstruction if needed.
WHAT IS KNOWN AND WHAT THIS PAPER ADDS
The relative efficacy of surgical reconstruction and rehabilitation for short and long term outcomes of ACL rupture is debated. Clinicians and young active adult patients should consider rehabilitation as a primary treatment option following an acute ACL tear.
研究问题
在急性前交叉韧带（ACL）断裂的年轻活跃成年人中，接受康复治疗加早期 ACL 重建与接受康复治疗和选择性延迟 ACL 重建的患者，五年后的患者报告或影像学结果是否存在差异？
总结答案
在五年时，接受康复治疗加早期 ACL 重建的患者与接受初始康复治疗并在需要时选择进行后期重建的患者在患者报告或影像学结果方面没有显著差异。
已知和本研究新增内容
手术重建与康复治疗对 ACL 撕裂的短期和长期结果的相对疗效存在争议。对于急性 ACL 撕裂，临床医生和年轻活跃成年患者应考虑将康复治疗作为主要治疗选择。
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