Bilko T E, Paulos L E, Feagin J A, Lambert K L, Cunningham H R
Am J Sports Med. 1986 Mar-Apr;14(2):143-7. doi: 10.1177/036354658601400209.
Results of a 21 question survey, taken at the ACL Study Group meeting in 1984, present a composite picture of current practices in ACL reconstruction and rehabilitation. Forty-four of the 50 questionnaires were returned. Responses represented views from knee surgeons in the United States, Canada, Australia, Sweden, and Switzerland. These results were compared with a report of a 1980 international survey in which views of 40 knee experts from the United States, Canada, England, France, and Sweden were summarized. Questions on the two surveys were similar, particularly about rehabilitation. Although the time span between the two surveys was only 4 years, we can see both consistencies and changes. Responses about length of time between ACL repair and full range of motion (by 6 months) were essentially the same (88% in 1980, and 86.4% in 1984). However, changes were evident in length of immobilization (longer in 1980) and prescribing isometric contractions of quadriceps 1st week postoperatively (more frequently in 1980). Surgeons allowed patients to return to full activity sooner in 1980 than in 1984. Electrical stimulation was being used more frequently in 1984, and apparently the practice of simultaneous hamstring and quadriceps contraction has come into prominence since 1980 as it was not mentioned in the first survey. In 1984, 50% of the respondents indicated they prescribed it. Since standardized reporting systems are not established, we cannot do reliable statistical analyses on large samples. At the present time, making surveys with responses from similar groups every few years is the best available way to capture trends in treatment of ACL injuries.
1984年在ACL研究小组会议上进行的一项包含21个问题的调查结果，展现了当前ACL重建与康复实践的综合情况。50份问卷中收回了44份。这些回复代表了来自美国、加拿大、澳大利亚、瑞典和瑞士的膝关节外科医生的观点。这些结果与1980年一项国际调查的报告进行了比较，该报告总结了来自美国、加拿大、英国、法国和瑞典的40位膝关节专家的观点。两项调查的问题相似，尤其是关于康复方面。尽管两项调查之间的时间跨度仅为4年，但我们既能看到一致性，也能看到变化。关于ACL修复与恢复全范围活动之间的时间长度（6个月时）的回复基本相同（1980年为88%，1984年为86.4%）。然而，固定时间长度（1980年更长）以及术后第1周规定股四头肌等长收缩（1980年更频繁）方面的变化很明显。1980年外科医生允许患者比1984年更早恢复全面活动。1984年电刺激的使用更频繁，而且自1980年以来，同时进行腘绳肌和股四头肌收缩的做法显然变得突出，因为在第一次调查中未提及。1984年，50%的受访者表示他们会规定这样做。由于未建立标准化报告系统，我们无法对大样本进行可靠的统计分析。目前，每隔几年对类似群体的回复进行调查是捕捉ACL损伤治疗趋势的最佳可用方法。
