Silfverskiold J P, Steadman J R, Higgins R W, Hagerman T, Atkins J A
US Ski Team, Wheat Ridge, Colorado.
Sports Med. 1988 Nov;6(5):308-19. doi: 10.2165/00007256-198806050-00006.
Recent medical advances in diagnosis, surgical technique, bracing and postoperative rehabilitation have greatly improved subjective and objective results following anterior cruciate ligament surgery. A team approach involving patient, therapist, athletic trainer, and surgeon is vital to a successful outcome. Surgical rationale and postoperative rehabilitation should be based on sound scientific data, recognising the need for static and dynamic knee stability. The rehabilitation programme should incorporate principles which enhances the well-being of the musculoskeletal system, avoiding potential problems such as periarticular contractures, disuse atrophy, negative cartilage changes, and cardiopulmonary deconditioning. This article is an attempt to summarise the scientific data and principles, and describe a rehabilitation programme which adheres to the data and principles outlined.
近期在诊断、手术技术、支具以及术后康复方面的医学进展，极大地改善了前交叉韧带手术后的主观和客观效果。由患者、治疗师、运动训练师和外科医生组成的团队协作对于取得成功的治疗结果至关重要。手术原理和术后康复应基于可靠的科学数据，同时认识到膝关节静态和动态稳定的必要性。康复计划应纳入增强肌肉骨骼系统健康的原则，避免出现诸如关节周围挛缩、废用性萎缩、软骨不良变化以及心肺功能减退等潜在问题。本文旨在总结相关科学数据和原则，并描述一个遵循上述概述的数据和原则的康复计划。
