Knee Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Cartilage. 2022 Jan-Mar;13(1):19476035221073999. doi: 10.1177/19476035221073999.
To assess the quality and variability of osteochondral allograft (OCA) transplantation rehabilitation protocols associated with academic orthopedic programs in the United States.
A systematic review was performed to collect all publicly available online rehabilitation protocols for femoral condyle OCA transplant from US academic orthopedic programs participating in the Electronic Residency Application Service. These protocols were evaluated for inclusion of different rehabilitation components as well as timing of suggested initiation of these activities.
A total of 22 protocols were included. Although 91% of protocols recommended bracing, wide variation exists in total time of utilization. Median time for full weight bearing (FWB) was 7 weeks (range 4-8). On average, each protocol mentioned 9 (range 2-18) different strengthening exercises. The median time suggested to return to high-impact activities was 9 months (range 8-12). Only 3 protocols (14%) offered criteria of advancement for each phase as well as criteria for discharge.
Very few of the academic orthopedic programs have published online rehabilitation protocols following OCA transplantation. Although there is wide variation between the protocols, it allowed the identification of trends or patterns that are more common. However, there is need for more standardized evidence-based rehabilitation protocols which are easy to understand and follow by patients.
评估与美国学术骨科项目相关的同种异体骨软骨移植（OCA）康复方案的质量和变异性。
系统回顾旨在收集所有来自参与电子住院医师申请服务的美国学术骨科项目的股骨髁 OCA 移植的公开在线康复方案。这些方案评估了包含不同康复成分的情况以及建议开始这些活动的时间。
共纳入 22 项方案。尽管 91%的方案建议使用支具，但使用的总时间存在很大差异。完全负重（FWB）的中位数时间为 7 周（范围 4-8 周）。平均而言，每个方案提到了 9 种（范围 2-18 种）不同的强化练习。建议返回高影响活动的中位数时间为 9 个月（范围 8-12 个月）。只有 3 项方案（14%）提供了每个阶段的进展标准以及出院标准。
很少有学术骨科项目发布了 OCA 移植后的在线康复方案。尽管方案之间存在很大差异，但它可以确定更常见的趋势或模式。然而，需要更多基于标准化证据的康复方案，以便患者易于理解和遵循。
