术后承重,运动范围协议和膝盖生物力学与ACL重建同时进行后侧半月道根修复后:系统性审查
Thibaut Noailles1, Julien Behr2, Nicolas Bouguennec3
1Department of Orthopaedic Surgery, Polyclinique de Bordeaux Nord, 33 rue du Docteur Finlay, 33000 Bordeaux, France.
Journal of clinical medicine
|January 28, 2026
概括
在后侧阴茎根修复和前十字带重建后的康复需要谨慎的进展. 建议早期控制运动和延迟承重 (WB),以优化愈合并保护移植完整性.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 前侧阴茎根裂经常伴随前十字带 (ACL) 损伤,破坏膝盖生物力学.
- 后侧半阴茎根 (PLMR) 的手术修复旨在恢复膝盖功能,但缺乏标准化康复.
研究的目的:
- 系统地审查和分析手术后承重 (WB) 和运动范围 (ROM) 协议,用于结合PLMR修复和ACL重建 (ACLR).
- 整合临床和生物力学发现,为康复策略提供信息.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PLMR修复和ACLR后对术后WB和ROM进行生物力学和临床研究的分析.
主要成果:
- 十一项研究揭示了异质的康复方案.
- 生物力学数据证实,PLMR修复恢复了近原生负载共享,减轻了骨旋转增加和撕裂引起的压力.
- 从临床上看,方案通常涉及4-6周的不承重或脚接触的WB和有限的ROM (0-90° flexion),在8-12周后进展到完全的WB和运动.
结论:
- 目前的证据有限,主要来自低级别的研究.
- 建议采取谨慎,渐进的康复方法,早期控制运动和延迟完全承重.
- 这一策略可以增强PLMR愈合,并保持ACL移植完整性.
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