Application of preoperative rehabilitation in anterior cruciate ligament reconstruction: a review
10.3760/cma.j.cn501098-20250105-00010
- VernacularTitle:术前康复在前交叉韧带重建中应用的研究进展
- Author:
Dan ZHOU
1
;
Shu DENG
1
;
Yang PENG
1
Author Information
1. 陆军军医大学第一附属医院创伤关节外科，重庆 400038
- Publication Type:Journal Article
- Keywords:
Anterior cruciate ligament;
Knee;
Preoperative care;
Return to sport
- From:
Chinese Journal of Trauma
2025;41(4):414-420
- CountryChina
- Language:Chinese
-
Abstract:
Anterior cruciate ligament (ACL) injury is a common sports-related knee injury. Its early clinical symptoms include knee swelling, pain with restricted movement, and may progress to knee instability and even secondary osteoarthritis in later stages, significantly affecting the patients′ athletic performance and quality of life. Arthroscopic ACL reconstruction is currently regarded as the gold standard treatment for ACL injuries. However, due to the factors including surgical techniques and rehabilitation protocols, the probability of patients returning to their pre-injury sports level postoperatively remains suboptimal. Therefore, developing individualized preoperative and postoperative rehabilitation protocds are particularly crucial. Traditionally, rehabilitation was implemented postoperatively, overlooking the significance of preoperative rehabilitation. Preoperative rehabilitation primarily involves comprehensive management and functional training, which can enhance patient satisfaction, reduce postoperative complications, and shorten the return-to-sport duration. Standardized preoperative rehabilitation is essential for enabling patients to return to sports promptly after surgery, however, there remain controversies regarding the optimal timing, training intensity, and duration of preoperative rehabilitation. To this end, the authors reviewed the application of preoperative rehabilitation in ACL reconstruction, aiming to provide references for establishing standardized preoperative rehabilitation protocols in clinical practice.
