后交叉韧带重建术后的康复:系统评价。
Postoperative Rehabilitation of Posterior Cruciate Ligament Surgery: A Systematic Review.
机构信息
Georgetown University School of Medicine, Washington, DC.
Medstar Health, Timonium, MD.
出版信息
Sports Med Arthrosc Rev. 2021 Jun 1;29(2):81-87. doi: 10.1097/JSA.0000000000000307.
Posterior cruciate ligament (PCL) injuries can be debilitating knee injuries, having involvement in up to 44% of traumatic knee injuries. However, isolated PCL injuries are relatively infrequent. Therefore, effective evidence-based rehabilitation protocols have proven to be elusive. This systematic review aims to summarize the latest evidence on postoperative rehabilitation protocols for patients undergoing PCL reconstruction. Studies included in this paper included those published from 1991 to 2019 with a grade 1 to 5 level of evidence discussing the postoperative PCL rehabilitation. A multidatabase search using largely PubMed and Ovid was conducted using relevant keywords such as "PCL," "postoperative," and "rehabilitation," initially leading to 955 papers, which were narrowed by relevance to 12 final published studies used in the analysis. Through careful review of the evidence, crucial principles of rehabilitation, such as an initial focus on protecting the graft during strengthening, as well as an optimized PCL reconstruction protocol are presented here. Rehabilitation following PCL reconstruction continues to be limited by a lack of high-quality evidence-based publications.
后交叉韧带(PCL)损伤可能会导致严重的膝关节损伤,在高达 44%的创伤性膝关节损伤中都有涉及。然而,单纯的 PCL 损伤相对较少见。因此,有效的循证康复方案一直难以确定。本系统综述旨在总结 PCL 重建术后康复方案的最新证据。本文纳入的研究包括 1991 年至 2019 年发表的、具有 1 至 5 级证据水平的研究,讨论了 PCL 术后康复问题。最初使用大量的 PubMed 和 Ovid 进行了多数据库检索,使用了“PCL”“术后”和“康复”等相关关键字,最初共得到 955 篇论文,通过相关性筛选后,最终有 12 篇发表的研究被纳入分析。通过仔细审查证据,提出了康复的关键原则,例如在加强过程中首先注重保护移植物,以及优化的 PCL 重建方案。PCL 重建术后的康复仍然受到缺乏高质量循证出版物的限制。