Arthroscopy. 2023 Mar;39(3):571-574. doi: 10.1016/j.arthro.2022.12.003.
Today, we who treat athletes are able to effect immediate, significant improvement in anterior cruciate ligament (ACL) patient outcomes, regardless of surgical technique, by careful determination of when an athlete is ready to return to sport. "Prehabiliation," bracing, time after surgery to various rehabilitation activities, time after surgery until return to sport, functional testing, strength testing including limb symmetry indices, psychological readiness, age, gender, and type of sport are all factors influencing successful return to sport after ACL injury and treatment. Age and gender are not modifiable, and for some athletes, type of sport may be nonnegotiable. However, each of these factors could be thoughtfully considered before returning an athlete to sport after ACL treatment. All the other factors listed above, from prehab to bracing to strength to psychological readiness, may be modifiable.
如今，我们这些治疗运动员的医生能够通过仔细判断运动员何时准备好重返运动，即使采用不同的手术技术，也能立即显著改善前交叉韧带（ACL）患者的预后。“康复前准备”、支具、手术后到各种康复活动的时间、手术后到重返运动的时间、功能测试、包括肢体对称性指数在内的力量测试、心理准备、年龄、性别和运动类型，都是影响 ACL 损伤和治疗后运动员成功重返运动的因素。年龄和性别是不可改变的，对于某些运动员来说，运动类型可能是不可协商的。然而，在 ACL 治疗后让运动员重返运动之前，都应该仔细考虑所有这些因素。上述所有其他因素，从康复前准备到支具到力量到心理准备，都可能是可以改变的。
