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前交叉韧带损伤处理相关国际指南解读及其临床应用 被引量:14

Interpretation and clinical application of international guidelines on management of anterior cruciate ligament injuries
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摘要 前交叉韧带损伤是一种常见的膝关节运动损伤。前交叉韧带损伤后的病人往往需要及时、有效的医学干预。但是目前临床医生在前交叉韧带损伤诊断、手术指征选择、手术方式、移植物类型、术后康复方案以及重返运动评估方面仍然存在较大困惑与争议。因此近年来国际权威研究机构和组织纷纷发布了基于当前研究水平的前交叉韧带损伤的处理指南或共识。这些指南之间既有继承又有发展,甚至有冲突之处。本研究通过对这些指南的系统解读与分析总结,归纳出目前临床上主要研究问题的最佳处理建议,为临床医生提供借鉴。 Anterior cruciate ligament(ACL)injury has always been the most common sport injury of the knee.It is necessary to provide timely and effective medical treatment to patients suffering anterior cruciate ligament injury.However,clinicians have confusion in diagnosis of anterior cruciate ligament injury,surgical indications,surgical methods,graft types,rehabilitation program as well as return-to-sport tests.Thus s series of ACL treatment guidelines and consensuses have been published by some international research organizations based on the available knowledge.Besides,there are inheritance,development and even controversies among these guidelines.In this article,treatment suggestions to controversial clinical issues were summarized after thoroughly interpretation and analysis of these guidelines.It is hoped to provide reference for clinicians.
作者 周天平 徐一宏 徐卫东 Zhou Tianping;Xu Yihong;Xu Weidong(Department of Orthopedics, Changhai Hospital, The Navy Medical University, Shanghai 200433, China)
出处 《中华关节外科杂志(电子版)》 CAS CSCD 2021年第6期718-724,共7页 Chinese Journal of Joint Surgery(Electronic Edition)
关键词 前交叉韧带 实践指南 综述 Anterior cruciate ligament Practice guideline Review
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