前交叉韧带重建术后恢复运动：意大利膝关节、关节镜、运动、软骨与骨科技术学会（SIGASCOT）成员间的一项调查

Return to sport after ACL reconstruction: a survey between the Italian Society of Knee, Arthroscopy, Sport, Cartilage and Orthopaedic Technologies (SIGASCOT) members.

作者信息

Grassi Alberto, Vascellari Alberto, Combi Alberto, Tomaello Luca, Canata Gian Luigi, Zaffagnini Stefano

机构信息

IIa Clinica Ortopedica e Traumatologica, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136, Bologna, Italy.

Orthopaedic and Traumatology Department, Oderzo Hospital, Oderzo, Treviso, Italy.

出版信息

Eur J Orthop Surg Traumatol. 2016 Jul;26(5):509-16. doi: 10.1007/s00590-016-1756-0. Epub 2016 Mar 14.

DOI:10.1007/s00590-016-1756-0

PMID:26972570

Abstract

BACKGROUND

A worldwide consensus for timing and criteria for return to sport after anterior cruciate ligament (ACL) reconstruction is lacking. The aim of the study was to survey among the Italian Society of Knee, Arthroscopy, Sport, Cartilage and Orthopaedic Technologies (SIGASCOT) members in order to evaluate their approaches to the return to sport after ACL reconstruction regarding timing and criteria.

METHODS

A web survey among the SIGASCOT members was performed, including 14 questions regarding technical and graft preferences, timing for return to training and competitive activity for contact and non-contact sports and criteria to allow return to sport.

RESULTS

Totally, 123 members completed the questionnaire. Return to training sports was allowed within 6 month by 87 % for non-contact sports and by 53 % for contact sports. Return to competitive activity was allowed within 6 months by 48 % for non-contact sports and by 13 % for contact sports. Full ROM (77 %), Lachman test (65 %) and Pivot-Shift test (65 %) were the most used criteria to allow return to sport. The 90 % used at least one clinical score.

CONCLUSION

The SIGASCOT members showed various approaches in the return to sport after ACL reconstruction, with differences between return to training or competitive activity, and between contact and non-contact sports. Six months was generally considered adequate by most of the members for the most demanding activities. The most used criteria to allow return to sport were manual testing. A clear definition of sport activities and more objective criteria for the return to sport are needed.

LEVEL OF EVIDENCE

Level V, expert opinion.

摘要

背景

对于前交叉韧带（ACL）重建术后恢复运动的时间和标准，全球尚未达成共识。本研究的目的是对意大利膝关节、关节镜、运动、软骨及骨科技术学会（SIGASCOT）的成员进行调查，以评估他们在ACL重建术后恢复运动的时间和标准方面的做法。

方法

对SIGASCOT成员进行了一项网络调查，包括14个关于技术和移植物偏好、恢复训练的时间以及接触性和非接触性运动的竞技活动时间，以及允许恢复运动的标准的问题。

结果

共有123名成员完成了问卷。87%的人允许非接触性运动在6个月内恢复训练，53%的人允许接触性运动在6个月内恢复训练。48%的人允许非接触性运动在6个月内恢复竞技活动，13%的人允许接触性运动在6个月内恢复竞技活动。全范围活动度（77%）、Lachman试验（65%）和轴移试验（65%）是允许恢复运动最常用的标准。90%的人至少使用了一种临床评分。