单纯康复治疗或ACL重建治疗后重返伤前运动：NACOX前瞻性队列研究结果
简介
该前瞻性队列研究纳入270例前交叉韧带损伤患者（66%接受重建），探讨不同运动水平患者重返伤前运动（IKDC运动等级）的比率与时间。结果显示，高运动需求（IKDC I-II级）患者重返率更低（66%-76% vs 100%）、时间更晚（12/10 vs 2个月），且足球（60%）、手球（88%）等运动重返率差异显著。临床提示：无论是否重建，高运动需求患者重返…
英文摘要
OBJECTIVES: In patients with ACL injury treated according to clinical practice, to explore: (1) the rate and time from injury to return to pre-injury sport IKDC sports level (RTS), (2) RTS rates to specific sports, and (3) patients' reported knee function. DESIGN: Prospective multicentre cohort study. PARTICIPANTS: 270 patients (53% females). Within three years of the injury, 178 patients (66%) had undergone ACL reconstruction (ACLR). MAIN OUTCOME MEASURES: Time from injury to RTS. Patient-reported knee function was evaluated with the Single Numeric Assessment Scale (SANE). RESULTS: Overall, 210 (78%) patients RTS. IKDC level-I and level-II patients RTS later (12 [95% CI 10-13] and 10 [95% CI 7-13] vs. 2 [95% CI 2-3] months, p < 0.001) and fewer RTS compared to IKDC level-III patients (66% vs. 76%, compared to 100%, p < 0.001). RTS rates for football were 60%, floorball 71%, handball 88%, and running 100%. SANE did not differ between the IKDC level groups at follow-ups; however, IKDC level-III patients reported lower SANE at RTS. CONCLUSIONS: Patients RTS to all sports level regardless of ACLR. Fewer patients in sports placing high demands on the knee RTS, and they RTS later compared to sports that are less demanding on the knee.