年轻运动员在ACL重建,修复和保守治疗之间做出决定:系统叙事审查
Jonathon Lewis1, Essa H Gul1, Stephanie Boden2
1School of Medicine, University of Louisville, Louisville, KY, USA.
Open access journal of sports medicine
|February 19, 2026
概括
年轻运动员前十字带 (ACL) 损伤的管理尚不清楚. 虽然前十字带重建 (ACLR) 的失败率较低,但ACL修复研究的质量更好,尽管所有方法都需要长期的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 前十字带 (ACL) 损伤在儿科和青少年运动员中很常见.
- 在这个人群中,ACL损伤的最佳管理策略仍在争论中.
- 目前的选择包括重建 (ACLR),修复和保守干预.
研究的目的:
- 系统地审查和比较不同ACL伤害管理方法在儿科和青少年运动员的有效性.
- 评估的主要结果是失败率,体育回归率 (RTS) 和感知膝盖功能.
- 其次要目标包括评估研究质量和识别潜在的偏见.
主要方法:
- 一个系统的叙事审查发表在PubMed,ResearchGate,谷歌学者,Sage期刊和OVID (Medline) 的研究.
- 研究被分为ACL重建 (ACLR),ACL修复和保守的管理组.
- 方法质量使用修改后的科尔曼方法得分 (MCMS) 进行评估.
主要成果:
- 包括56项研究,出版日期在不同组之间有所不同 (ACLR: 2010.8 ± 9年;ACL修复:2015.9 ± 10年;保守:2018.0 ± 4年).
- ACL 修复研究显示"良好"质量 (MCMS = 70.2 ± 7.9),优于 ACLR ("公平", 63.3 ± 6.8) 和保守 ("公平", 59.8 ± 6.4) 组.
- 虽然Lysholm分数和RTS率在各组中相似,但ACLR与ACL修复 (17.0%) 和保守 (32.4%) 方法相比,失败率明显较低 (7.4%).
结论:
- 前十字带重建 (ACLR) 在评估的儿科和青少年ACL损伤管理策略中表现出最低的失败率.
- 在ACL修复研究中,方法的严谨性较高,但需要对长期结果进行进一步的研究.
- 在所有管理类型中,包括神经认知,力量和心理准备在内的全面评估报告不足.
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