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前交叉韧带撕裂:非手术治疗的个体化指征

Anterior Cruciate Ligament Tear: Individualized Indications for Non-Operative Management.

作者信息

Komnos George A, Hantes Michael H, Kalifis Georgios, Gkekas Nifon K, Hante Artemis, Menetrey Jacques

机构信息

Department of Orthopaedic Surgery and Musculoskeletal Trauma, University Hospital of Larissa, 41110 Larissa, Greece.

Department of Orthopaedic Surgery and Musculoskeletal Trauma, University Hospital of Larissa, School of Health Sciences, University of Thessaly, 41110 Larissa, Greece.

出版信息

J Clin Med. 2024 Oct 18;13(20):6233. doi: 10.3390/jcm13206233.

Abstract

Anterior cruciate ligament (ACL) rupture represents a common sports injury that is mostly managed operatively. However, non-operative treatment can also play a role, despite the limited high-quality published data on ACL tear management. Both methods have shown favorable outcomes, but clear guidelines based on high-quality research are lacking. Several factors should be considered and discussed with the patient before deciding on the best treatment method. These include patient characteristics and expectations, concomitant injuries, and clinical evaluation, with laxity or/and instability being one of the most essential parameters examined. This should eventually lead to an individualized approach for each patient to ensure the best possible outcome. This review aims to delve into all parameters that are related to ACL rupture and guide physicians in choosing the most appropriate treatment method for each patient.

摘要

前交叉韧带(ACL)断裂是一种常见的运动损伤,大多通过手术治疗。然而,尽管关于ACL撕裂治疗的高质量已发表数据有限,但非手术治疗也能发挥作用。两种方法都显示出了良好的效果,但缺乏基于高质量研究的明确指南。在决定最佳治疗方法之前,应考虑几个因素并与患者进行讨论。这些因素包括患者特征和期望、合并伤以及临床评估,其中松弛或/和不稳定是最重要的检查参数之一。这最终应导致针对每个患者的个性化方法,以确保尽可能好的结果。本综述旨在深入探讨与ACL断裂相关的所有参数,并指导医生为每个患者选择最合适的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f222/11508887/9bc00d50ea99/jcm-13-06233-g001.jpg

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