Hourston George Jm, Kankam Hadyn Kn, McDonnell Stephen M
Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge, UK.
Department of Surgery, St George's University Hospitals NHS Foundation Trust, London, UK.
J Clin Orthop Trauma. 2022 Jan 20;25:101774. doi: 10.1016/j.jcot.2022.101774. eCollection 2022 Feb.
Rehabilitation after surgery of the injured anterior cruciate ligament (ACL) is crucial for satisfactory outcomes. Many trials have investigated this process after ACL reconstruction. The treatment of acute ACL ruptures with a repair technique has recently regained interest, although very little information is available about appropriate rehabilitation for such patients. The objective of this review was to evaluate studies on rehabilitation following ACL repair.
A systematic review of the literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted for patients undergoing a rehabilitation programme after ACL repair. The review has been registered on the International Prospective Register of Systematic Reviews (PROSPERO, Registration number: CRD42020173450). Elements of rehabilitation care we included in our strategy are postoperative bracing, home-based rehabilitation, strengthening exercises, proprioception and neuromuscular training. We searched PubMed, CINAHL, EMBASE, and the Cochrane Library for randomised trials of any form investigating rehabilitation protocols after repair of the injured ACL. Two reviewers independently assessed eligibility of trials.
No trials were included. Available literature of lower evidence was included for discussion.
No information is available from randomised trials to indicate whether there is any difference between rehabilitation protocols for patients who have undergone primary ACL repair.
前交叉韧带（ACL）损伤手术后的康复对于取得满意疗效至关重要。许多试验已经对ACL重建后的这一过程进行了研究。尽管关于此类患者的适当康复治疗的信息非常少，但采用修复技术治疗急性ACL断裂最近重新引起了人们的关注。本综述的目的是评估ACL修复后康复的相关研究。
按照系统评价和Meta分析的首选报告项目（PRISMA）指南，对接受ACL修复后康复计划的患者进行了文献系统评价。该综述已在国际前瞻性系统评价注册库（PROSPERO，注册号：CRD42020173450）上注册。我们策略中纳入的康复护理要素包括术后支具固定、家庭康复、强化锻炼、本体感觉和神经肌肉训练。我们在PubMed、CINAHL、EMBASE和Cochrane图书馆中检索了任何形式的随机试验，以研究受伤ACL修复后的康复方案。两名评审员独立评估试验的 eligibility。
未纳入任何试验。纳入了证据水平较低的现有文献进行讨论。
随机试验未提供任何信息来表明接受初次ACL修复的患者的康复方案之间是否存在差异。
