ACL撕裂後需不需要進行手術重建?

2021-02-23 3個物理治療師

原文參考文獻:

1. Travers, M.J., et al., Should this systematic review and meta-analysis change my practice? Part 1: exploring treatment effect and trustworthiness.British Journal of Sports Medicine, 2019: p. bjsports-2018-099958.

2. Smith, T.O., Postle, K., Penny, F., McNamara, I., & Mann, C, Is reconstruction the best management strategy for anterior cruciate ligament rupture? A systematic review and meta-analysis comparing anterior cruciate ligament reconstruction versus non-operative treatment.The Knee, 2014. 21((2)): p. 462-70.

3. Delincé, P. and D. Ghafil, Anterior cruciate ligament tears: conservative or surgical treatment?Knee Surgery, Sports Traumatology, Arthroscopy, 2013. 21(7): p. 1706-1707.

4. Monk AP, D.L., Hopewell S, Harris K, Beard DJ, Price AJ., Surgical versus conservative interventions for treating anterior cruciate ligament injuries.Cochrane Database of Systematic Reviews 2016(4).

5.Sihvonen, R., et al., Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial.Annals of the rheumatic diseases, 2018. 77(2): p. 188-195.

6.Beard, D.J., et al.,Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial.The Lancet, 2018. 391(10118): p. 329-338.

7.Kroslak, M. and G.A.C. Murrell, Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial.The American Journal of Sports Medicine, 2018. 46(5): p. 1106-1113.

8. Zadro, J.R., et al.,Choosing Wisely after a sport and exercise-related injury.Best Practice & Research Clinical Rheumatology, 2019.

9. Kay, J., et al., A Historical Analysis of Randomized Controlled Trials in Anterior Cruciate Ligament Surgery.JBJS, 2017. 99(24): p. 2062-2068.

10. Culvenor A, B.C., It is time to stop wasting time and money debating graft types and surgical approaches for ACL injuries: The secret probably lies in optimising rehabilitation, inBritish Journal of Sports Medicine 2017.

11. Frobell, R.B., et al., Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial.BMJ : British Medical Journal, 2013. 346.

12.Meuffels, D.E., et al., Ten year follow-up study comparing conservative versus operative treatment of anterior cruciate ligament ruptures. A matched-pair analysis of high level athletes.British Journal of Sports Medicine, 2009. 43(5): p. 347-351.

13. Grindem, H., et al., A pair-matched comparison of return to pivoting sports at 1 year in ACL-injured patients after a nonoperative versus operative treatment course.The American journal of sports medicine, 2012. 40(11): p. 2509-2516.

14. Kovalak, E., et al., Is ACL reconstruction a prerequisite for the patients having recreational sporting activities?Acta Orthopaedica et Traumatologica Turcica, 2018. 52(1): p. 37-43.

15. Roos, H., et al., Soccer after anterior cruciate ligament injury – An incompatible combination? A national survey of incidence and risk factors and a 7-year follow-up of 310 players. Vol. 66. 1995. 107-12.

16. Myklebust, G., et al., Clinical, Functional, and Radiologic Outcome in Team Handball Players 6 to 11 Years after Anterior Cruciate Ligament Injury.The American Journal of Sports Medicine, 2003. 31(6): p. 981-989.

17.van Yperen, D.T., et al., Twenty-Year Follow-up Study Comparing Operative Versus Nonoperative Treatment of Anterior Cruciate Ligament Ruptures in High-Level Athletes.The American Journal of Sports Medicine, 2018. 46(5): p. 1129-1136.

18.Weiler, R., et al., Non-operative management of a complete anterior cruciate ligament injury in an English Premier League football player with return to play in less than 8 weeks: applying common sense in the absence of evidence.BMJ Case Reports, 2015. 2015: p. bcr2014208012.

19.Weiler, R., Unknown unknowns and lessons from non-operative rehabilitation and return to play of a complete anterior cruciate ligament injury in English Premier League football.Br J Sports Med, 2016. 50: p. 261-262.

20. Nordenvall, R., et al., Cruciate Ligament Reconstruction and Risk of Knee Osteoarthritis: The Association between Cruciate Ligament Injury and Post-Traumatic Osteoarthritis. A Population Based Nationwide Study in Sweden, 1987–2009.PLOS ONE, 2014. 9(8): p. e104681.

21. Culvenor, A.G., et al., Loss of patellofemoral cartilage thickness over 5 years following ACL injury depends on the initial treatment strategy: results from the KANON trial.British Journal of Sports Medicine, 2019: p. bjsports-2018-100167.

22. Filbay, S.R., Early ACL reconstruction is required to prevent additional knee injury: a misconception not supported by high-quality evidence.British Journal of Sports Medicine, 2019. 53(8): p. 459-461.

23. Ihara, H.M., M; Deya, K; Torisu, K, MRI of anterior cruciate ligament healing.J Comput Assist Tomogr, 1996. 20(2): p. 317-21.

24. Fujimoto, E., et al.,Spontaneous healing of acute anterior cruciate ligament (ACL) injuries – conservative treatment using an extension block soft brace without anterior stabilization.Archives of Orthopaedic and Trauma Surgery, 2002. 122(4): p. 212-216.

25. Costa-Paz, M., et al., Spontaneous Healing in Complete ACL Ruptures: A Clinical and MRI Study.Clinical Orthopaedics and Related Research, 2012. 470(4): p. 979-985.

26.Zbrojkiewicz D, V.C., Grayson JE, Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000–2015.Med J Aust, 2018. 208(8): p. 354-358.

27.Grindem, H., A.J. Arundale, and C.L. Ardern, Alarming underutilisation of rehabilitation in athletes with anterior cruciate ligament reconstruction: four ways to change the game.British Journal of Sports Medicine, 2018.

28. Zadro, J. and E. Pappas, Time for a Different Approach to Anterior Cruciate Ligament Injuries: Educate and Create Realistic Expectations. Vol. 49. 2018.

29. Filbay, S.R., et al.,Delaying ACL reconstruction and treating with exercise therapy alone may alter prognostic factors for 5-year outcome: an exploratory analysis of the KANON trial.British Journal of Sports Medicine, 2017. 51(22): p. 1622-1629.

30.Bowes, M., et al., Marked and Rapid Change of Bone Shape In Acutely Acl Injured Knees – An Exploratory Analysis Of The Kanon Trial. Vol. 27. 2019.

31. Larsson, S., et al., Surgical reconstruction of ruptured anterior cruciate ligament prolongs trauma-induced increase of inflammatory cytokines in synovial fluid: an exploratory analysis in the KANON trial.Osteoarthritis and Cartilage, 2017. 25(9): p. 1443-1451.

32. Rooney, J., Investigation of Contemporary Conservative Management Programs  for Anterior Cruciate Ligament Knee Injuries.The Winston Churchill Memorial Trust of Australia, 2018.

33. Fitzgerald GK1, A.M., Snyder-Mackler L., Proposed practice guidelines for nonoperative anterior cruciate ligament rehabilitation of physically active individuals.J Orthop Sports Phys Ther., 2000. 30(4): p. 194-203.

34.Hartigan, E.H., et al., Kinesiophobia after anterior cruciate ligament rupture and reconstruction: noncopers versus potential copers.The Journal of orthopaedic and sports physical therapy, 2013. 43(11): p. 821-832.

35.Hurd, W.J., M.J. Axe, and L. Snyder-Mackler, A 10-Year Prospective Trial of a Patient Management Algorithm and Screening Examination for Highly Active Individuals with Anterior Cruciate Ligament Injury: Part 1, Outcomes.The American Journal of Sports Medicine, 2008. 36(1): p. 40-47.

36.Thoma, L.M., et al., Coper Classification Early After Anterior Cruciate Ligament Rupture Changes With Progressive Neuromuscular and Strength Training and Is Associated With 2-Year Success: The Delaware-Oslo ACL Cohort Study.The American Journal of Sports Medicine, 2019. 47(4): p. 807-814.

37. Moksnes H, S.-M.L., Risberg MA., Individuals with an anterior cruciate ligament-deficient knee classified as noncopers may be candidates for nonsurgical rehabilitation.J Orthop Sports Phys Ther. , 2008. 38(10): p. 586-595.

38. Thorstensson, C.A., et al., Choosing surgery: patients』 preferences within a trial of treatments for anterior cruciate ligament injury. A qualitative study.BMC Musculoskeletal Disorders, 2009. 10(1): p. 100.

39. Ericsson YB, R.E., Frobell RB, Lower extremity performance following ACL rehabilitation in the KANON-trial: impact of reconstruction and predictive value at 2 and 5 years.Br J Sports Med 2013. 47: p. 980-985.

40. Burland, J., et al., Learned Helplessness After Anterior Cruciate Ligament Reconstruction: An Altered Neurocognitive State?2019.

41. Sommerfeldt, M., et al., Psychological Predictors of Anterior Cruciate Ligament Recovery Outcomes. 2018. p. 498-500.e2.

42. M. Scott, S., M. Perry, and G. Sole, 「Not always a straight path」: patients』 perspectives following anterior cruciate ligament rupture and reconstruction. Vol. 40. 2017.

43.Richardson, K., No ACL? No Worries. Practical, Practical, evidence-based advice for clinicians managing ACL tears non-surgically, in InMotion 2018, Australian Physiotherapy Association: Australia. p. 10-13.

44. Snyder-Mackler, L., et al., The Relationship Between Passive Joint Laxity and Functional Outcome After Anterior Cruciate Ligament Injury.The American Journal of Sports Medicine, 1997. 25(2): p. 191-195.

45.Hurd, W., M. Axe, and L. Snyder-Mackler, Management of the Athlete with Acute Anterior Cruciate Ligament Deficiency.Sports Health, 2009. 1(1): p. 39-46.

46. Collins, N.J., et al.,Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS).Arthritis care & research, 2011. 63 Suppl 11(0 11): p. S208-S228.

47. van Meer, B.L., et al., Knee injury and Osteoarthritis Outcome Score or International Knee Documentation Committee Subjective Knee Form: which questionnaire is most useful to monitor patients with an anterior cruciate ligament rupture in the short term?Arthroscopy : the journal of arthroscopic & related surgery., 2013. 29(4): p. 701-715.

48. Linton, S.J., M. Nicholas, and S. MacDonald, Development of a short form of the Örebro Musculoskeletal Pain Screening Questionnaire.Spine., 2011. 36(22): p. 1891-1895.

49. Miller, R.P., S.H. Kori, and D.D. Todd, The Tampa Scale: a Measure of Kinisophobia.The Clinical Journal of Pain, 1991. 7(1): p. 51.

50. Filbay, S.R. and H. Grindem, Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture.Best Practice & Research Clinical Rheumatology, 2019.

51. Skou, S.T., et al., Physical Activity and Exercise Therapy Benefit More Than Just Symptoms and Impairments in People With Hip and Knee Osteoarthritis.J Orthop Sports Phys Ther, 2018. 48(6): p. 439-447.

52. Fleig, L., et al., Promoting exercise maintenance: how interventions with booster sessions improve long-term rehabilitation outcomes.Rehabilitation psychology, 2013. 58(4): p. 323-333.

53. Nessler, T., L. Denney, and J. Sampley, ACL Injury Prevention: What Does Research Tell Us?Current Reviews in Musculoskeletal Medicine, 2017. 10(3): p. 281-288.

相關焦點

  • 中英文字幕:ACL重建(ACL Reconstruction,Patellar Tendon Graft Technique)
    本手術對前十字韌帶(簡稱「ACL」)撕裂後的膝關節進行修復。這個韌帶在膝關節中間,用於將股骨固定到脛骨上。這個手術可以讓你恢復正常的膝關節功能。Preparation(準備)In preparation for the procedure, you are anesthetized.
  • 中英文字幕:前交叉韌帶重建(ACL Reconstruction with Arthrex RetroScrew)
    本手術通過用Arthrex 倒打螺釘固定肌腱移植物來替換損壞或撕裂的前十字韌帶(ACL)。術者在手術中用稱為關節鏡的微型攝像機觀察關節內部的情況。  準備進行ACL重建時,對患者施以麻醉,擺妥體位,並準備移植物。此時,術者可以從患者身上中獲取肌腱移植物,或在手術之前,從供體獲取移植物。
  • 胸壁腫瘤切除及胸壁重建手術中國專家共識(2018 版)
    對於大部分胸壁腫瘤而言,手術是其主要的治療方式,術後造成的大範圍胸壁缺損又需要進行胸壁重建[3]。近年來,隨著外科技術和植入器械的發展,胸壁腫瘤切除手術和胸壁重建手術也發生了巨大的變化。目前臨床中可選擇的重建材料和方法眾多,但是尚缺乏高級別臨床證據對各種胸壁重建技術和重建材料進行比較。胸壁重建的手術方式主要依據術者的經驗和個人傾向進行選擇,如何正確合理使用重建材料尚無明確規範。
  • 韌帶損傷一定要手術嗎?不手術能長好嗎?
    韌帶損傷並不少見,在暨南大學附屬第一醫院運動醫學中心,副主任醫師李劼若經常被患者問到:「韌帶損傷一定要手術嗎?不手術能長好嗎?」對此,他表示,醫生要綜合受損部位、程度、病人具體情況等因素,才能給出比較科學全面的治療建議,如果經評估受損程度達到3度的一般需要手術治療。
  • 什麼情況下需要做心臟支架?手術後,做好這些護理很重要
    一般來說,在出現嚴重心臟方面疾病後,就需要通過合理的治療來改善病情,比如心臟支架手術。心臟支架手術又稱冠狀動脈支架植入術,即將球囊導管通過血管穿刺置入狹窄的血管,在體外將球囊加壓膨脹,撐開狹窄的血管壁,使病變血管恢復暢通,以預防冠狀動脈急性閉塞的治療。
  • 內科介入治療及外科搭橋手術後 仍需持續關注並積極採取措施...
    原標題:內科介入治療及外科搭橋手術後,仍需持續關注並積極採取措施——心臟康復讓患者回歸正常生活   「
  • 全球罕見的「鏡面人」患者 手術需要「反著做」
    喻本桐主任再仔細閱覽邵女士的CT片後發現,邵女士的結節位於她的「左下肺葉」,直徑約1.1x0.8CM,屬於高危結節,需要儘快手術,於是邵女士立即被收治住院。 據了解,全內臟反位的發生率約為百萬分之一,合併肺腫瘤的全內臟反位則更為罕見。
  • 唐山工人醫院獨立成功開展主動脈夾層「雜交」手術
    唐山工人醫院獨立成功開展主動脈夾層「雜交」手術環渤海新聞網消息 近日,心外一科王東大血管團隊再創新突破,獨立成功為一位患有主動脈夾層B型病人行升主動脈與左側鎖骨下動脈人工血管轉流術+胸主動脈覆膜支架植入術,俗稱「雜交」手術。
  • 主動脈夾層手術怎麼麻醉?
    今天,我們一起聊聊令人談之色變的主動脈夾層手術是怎麼回事。另外,重點聊聊這個手術怎麼麻醉?主動脈夾層指主動脈腔內的血液從主動脈內膜撕裂處進入主動脈中膜,使中膜分離,沿主動脈長軸方向擴展形成主動脈壁的真假兩腔分離狀態。
  • 3D列印假體在脊柱腫瘤切除後脊柱重建中的應用
    手術除了需遵循規範的腫瘤切除原則外,還需要複雜的生物力學重建以維持脊柱的穩定和功能。隨著手術技術的發展,放療、化療、靶向治療等輔助治療手段的進步,脊柱腫瘤的治療效果不斷提高,患者的生存期不斷延長,對內固定的可靠程度提出更高的要求。近年來,隨著3D列印技術在醫療領域的快速發展,3D列印假體展現出了獨特的優勢。筆者就3D列印假體在脊柱腫瘤切除後脊柱重建中的應用做一綜述,報告如下。
  • 一次手術成功讓他重建聽力
    經過耳鼻喉科專家團隊近2小時的精細操作,在為患者徹底清除膽脂瘤病變的基礎上,為該患者重建了聽力,推進了常德地區耳顯微外科的進一步發展。48歲彭先生從小就被「左耳反覆流膿伴聽力下降」折騰,因為聽力欠佳,嗓門也大,也曾藥物治療,但一直效果不理想,流膿反覆,聽力越來越差。
  • 腰椎手術在什麼情況下需要打釘子?
    腰椎的一些高發生率疾病嚴重到一定程度後就需要手術幹預,比如腰椎間盤突出症、腰椎管狹窄、腰椎滑脫等等。這其中有一部分患者是需要做固定融合的手術,就是咱們老百姓常說的打釘子的手術。那許多患者就有疑問了,腰椎手術在什麼情況下需要打釘子?有沒有必要呢?
  • 中英文字幕:尺側副韌帶重建(Medial Ulnar Collateral Ligament Reconstruction)
    本手術被設計用於修復肘關節韌帶撕裂,這種損傷通常由於胳膊強烈的、反覆的過頂的投擲動作或肘關節脫位引起。
  • 單孔隆突切除重建術
    在鏡頭直視下,建立手術視野的充分暴露暴露是安全進行手術每一步所必備的。為充分暴露,建立好4-6cm長的切口後需在切口防止切口保護套。進行肺門清掃前,需分離粘連。奇靜脈實用血管夾或結紮切斷。為了暴露好氣管旁間隙,我們用縫合線將奇靜脈的殘端固定在縱隔和肋胸膜上(圖1)。
  • | ACL 2019
    潛變量模型也依賴於單詞向量的各向同性,即使已經有實證研究證明 SGNS 向量通常不具有這種性質(相關工作可參考:https://www.aclweb.org/anthology/D17-1308)。最近一份發表在 ICML 2019 上的工作(https://arxiv.org/pdf/1901.09813.pdf)在完全不考慮 SGNS 中負採樣的影響的情況下,對此假設進行變通。詞類比的結構最廣為接受的看法是,詞類比是形如「a 之於 b,相當於 x 之於 y」的聲明,也就是說 a 和 x 經過相同的變換後會分別得到 b 和 y,反之亦然。
  • 植皮術手術禁忌症:全身疾病不耐受手術者
    助手雙手掌將供皮區壓緊繃平;或術者及助手各用一塊木板置於供皮區兩端,使供皮區皮膚繃緊,術者可徒手持取皮刀片,或用止血鉗、小取皮刀架夾持保險刀片,將刀片從一端開始向另一端作前、後幅度不大的移動或拉鋸式的推進。一般講,刀片和皮膚表面呈10-15角左右。標準表層皮片為半透明狀,平整、邊緣不捲曲,供皮區創面呈密密麻麻的小出血點。當皮片大小達到所需要時,將皮片切取下。
  • 做種植牙需要注意什麼 哪些人能接受種植手術
    選擇種植牙效果很好,那麼做種植牙需要注意什麼呢?種植牙後的注意事項有哪些呢?種植牙不管是種植前還是種植後都有很多的注意事項需要關注的,牙齒種植也不能忽視的,因為這些注意事項會嚴重影響牙齒種植的成果,需要重視。
  • 來自一位參與了acl2019討論的學者的論點
    近期,nlp領域發生了一些重大變化,其中包括:來自瑞典、丹麥和波蘭的頂級學者開始在研究頂刊acl上發表基於最新cnn的corpus和machinereadingcomprehension,以及其他一些有趣的project。
  • 圖解:剖腹產手術如何進行?
    手術進行中施行麻醉——麻醉生效後,切開皮膚、皮下脂肪和筋膜——分開腹壁——進入子宮所在的腹腔——切開子宮——吸出羊水——取出胎兒——切斷臍帶手術時間:整個手術過程一般需要30分鐘~45分鐘左右。剖腹產麻醉,需要產婦如何配合?可以用於剖宮產的麻醉方式有很多,每一種都有各自的優缺點、適應症及禁忌症。
  • 兒童斜視做完手術就行了?專家:術後雙眼視功能重建同等重要
    患者在進行雙眼視功能訓練。昆明愛爾眼科醫院供圖雲南網訊(記者 彭錫)「孩子的未來有救了!謝謝你們!」近日,來自西雙版納傣族自治州的4歲患者靈靈(化名)媽媽向昆明愛爾眼科醫院醫護人員表達了感激之情。原來,患有斜視的靈靈進行手術後經過短暫的1個月視覺訓練,眼睛就恢復了立體視功能。而孩子恢復了該功能,就可以從事精細工作,未來生活和就業就不會受到嚴重影響。斜視,通俗說法是「斜眼」,指當一眼注視目標時,另一隻眼的視軸偏離注視目標。該病在兒童中的發病率為1-2%,是兒童常見的眼病之一。