Chang Alan, Chan Cheng-Yen, Lin Meng-Ting, Wu Chueh-Hung, Özçakar Levent
Department of Medical Education, National Taiwan University Hospital, Taipei, Taiwan.
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Am J Phys Med Rehabil. 2025 Jul 1;104(7):622-629. doi: 10.1097/PHM.0000000000002681. Epub 2025 Jan 3.
The primary repair of the anterior cruciate ligament has re-emerged as a treatment for acute ruptures. While numerous studies have investigated rehabilitation after anterior cruciate ligament reconstruction, few have focused on primary repair. We aimed to describe the rehabilitation protocols for primary anterior cruciate ligament repair in order to identify knowledge gaps and differences between primary anterior cruciate ligament repair and reconstruction.
A scoping review design was selected because of the descriptive and exploratory nature, aiming to identify and map available research evidence from various databases relevant to the research question. Evaluation of study quality and risk of bias is not required in scoping reviews.
A comprehensive search of PubMed, Embase, Cochrane Library, and Web of Science identified a total of 66 studies involving over 3100 participants. No randomized controlled trials directly comparing postoperative rehabilitation protocol were identified. Eight items of the rehabilitation protocols were analyzed, based on existing clinical practice guidelines for anterior cruciate ligament reconstruction. This review highlights the inadequacy and heterogeneity of the available data.
This review revealed a lack of consistent evidence and called for the development of standardized, technique-specific rehabilitation guidelines after primary anterior cruciate ligament repair. Clinical trials and transparent reporting are needed to establish validated protocols.
前交叉韧带的一期修复作为急性断裂的一种治疗方法再度兴起。虽然众多研究探讨了前交叉韧带重建后的康复问题，但很少有研究关注一期修复。我们旨在描述前交叉韧带一期修复的康复方案，以找出知识空白以及一期修复与重建之间的差异。
由于具有描述性和探索性，故选择了范围综述设计，旨在识别和梳理来自各种数据库与该研究问题相关的现有研究证据。范围综述无需评估研究质量和偏倚风险。
对PubMed、Embase、Cochrane图书馆和科学网进行全面检索，共识别出66项研究，涉及3100多名参与者。未识别出直接比较术后康复方案的随机对照试验。基于现有的前交叉韧带重建临床实践指南，对康复方案的八项内容进行了分析。本综述凸显了现有数据的不足和异质性。
本综述揭示了缺乏一致证据的情况，并呼吁制定前交叉韧带一期修复后标准化的、针对技术的康复指南。需要进行临床试验和透明报告以建立经过验证的方案。
