APKASS 2024 前交叉韧带重建共识声明第三部分：前交叉韧带重建术后重返运动
简介
APKASS 2024国际专家组就前交叉韧带（ACL）重建术后重返运动（RTP）标准达成共识。研究通过结构化问卷评估了临床评估、功能测试、心理因素、康复与再损伤预防、手术相关因素及利益相关者意见六大领域，以75%同意率为共识阈值。关键发现：摒弃单纯基于时间的RTP决策，推荐综合功能、心理及运动专项需求的评估体系；强调手动稳定性测试（Lachman试验和轴移试…
英文摘要
OBJECTIVE: To establish a standardized set of criteria for Return to Play (RTP) after Anterior Cruciate Ligament (ACL) reconstruction based on a consensus among international experts. METHODS: An international group of ACL experts convened at the APKASS 2024 Consensus Meeting to address the variability in RTP criteria. Using a structured questionnaire, the experts evaluated six key areas: clinical assessment, functional testing, psychological factors, rehabilitation and reinjury prevention, surgery-related factors, and stakeholder insights. Data were analyzed using a predefined consensus threshold of 75% agreement. RESULTS: The consensus identified several key recommendations for RTP, emphasizing the avoidance of purely time-based decision-making in favour of a more comprehensive approach that incorporates functional and psychological assessments, and sport-specific demands. Notable findings included the endorsement of manual stability tests (Lachman and Pivot Shift) as important components of evaluating knee stability, the critical role of psychological readiness, and the importance of a multifaceted approach involving various stakeholders in the RTP decision-making process. CONCLUSION: The APKASS 2024 Consensus Statement provides a comprehensive, expert consensus-based framework for RTP after ACL reconstruction and may help promote greater consistency in clinical practice. It highlights the need for a personalized approach that considers the unique recovery progress of athletes. Future research is encouraged to refine RTP protocols further and explore the integration of novel diagnostic and therapeutic technologies. LEVEL OF EVIDENCE: V (Expert opinion).