Steadman J R, Sterett W I
Steadman Hawkins Sports Medicine Foundation, Vail, CO 81657, USA.
Med Sci Sports Exerc. 1995 Mar;27(3):328-33.
Although the overall skin injury incidence continues to decline, knee injuries requiring surgery remain extremely common. Emphasis is placed on the history of the skier's fall in making an accurate diagnosis. This injury pattern is then assessed with the skier's age and activity level in determining the most appropriate surgical procedure. The actual surgical intervention is just a portion of the rehabilitation process in returning a skier back to sport as quickly as possible. The most common injuries requiring surgical intervention include meniscal tears, osteochondral fractures, and ligament tears. Our indications and techniques are described. Early focus on postoperative range of motion is emphasized. Strengthening begins only when full, pain-free range of motion is obtained. Utilizing these principles, our goals have been to complete the rehabilitation process coexistent with healing of the injury.
尽管总体皮肤损伤发生率持续下降，但需要手术治疗的膝部损伤仍然极为常见。在进行准确诊断时，重点关注滑雪者摔倒的病史。然后结合滑雪者的年龄和活动水平评估这种损伤模式，以确定最合适的手术程序。实际的手术干预只是使滑雪者尽快恢复运动的康复过程的一部分。需要手术干预的最常见损伤包括半月板撕裂、骨软骨骨折和韧带撕裂。我们描述了手术指征和技术。强调术后早期关注活动范围。只有在获得完全无痛的活动范围后才开始进行强化训练。运用这些原则，我们的目标是在损伤愈合的同时完成康复过程。
