Prevention and Management of Post-operative Complications Following ACL Reconstruction
Prevention and Management of Post-operative Complications Following ACL Reconstruction
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DOI：
10.1007/s12178-017-9427-2
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发表时间：
2017-09-01
影响因子：
4.1
通讯作者：
Zgonis, Miltiadis H.
中科院分区：
文献类型：
--
作者：
Eckenrode, Brian J.;Carey, James L.;Zgonis, Miltiadis H.
本文的目的是回顾目前处理和预防术后并发症的前交叉韧带（ACL）重建。除了对ACL重建恢复的干预措施和预期里程碑的建议外，还将介绍康复技术的趋势。ACL重建方案已经发展到更多的基于标准的进展，而不是组织愈合的时间框架。鉴于前交叉韧带手术重建技术和康复方案的发展，术后并发症的风险可能出现在恢复过程的早期和晚期。本文将讨论预防措施的作用，因为它适用于ACL重建术后患者。前交叉韧带重建术后的短期并发症包括感染和膝关节运动和力量的缺陷，而长期并发症包括累及或对侧膝关节继发性前交叉韧带损伤，以及术后缺乏恢复高水平运动的能力。未来的研究应继续解决继发性前交叉韧带损伤的多因素原因和限制患者恢复高水平活动的能力。
The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery.ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissue-healing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction.Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.