编委观点：通过质量改进弥合研究与实践的鸿沟——以前交叉韧带手术研究损伤预防为例
简介
这篇社论分析了2025至2026年间《膝关节外科、运动创伤学、关节镜学》杂志中821篇ACL手术相关文献，发现仅有极少数研究涉及“实施科学”框架，绝大多数聚焦于统计模型或人工智能。作者指出，ACL手术领域存在显著的研究与实践转化差距，建议将结构化实施框架整合到现有的质量改进与临床治理体系中，以促进循证建议在常规临床中的系统落地。
英文摘要
BACKGROUND: This editorial discusses challenges with inconsistent translation of evidence into routine clinical practice in health care. To illustrate the challenge and point toward solutions, we consider the field of anterior cruciate ligament injury management, which is characterized by intensive study of surgical approaches. METHODS: We conducted a critical analysis of publications in Knee Surgery, Sports Traumatology, and Arthroscopy from January 2025 to March 2026 (n = 821). EndNote records were filtered for terms associated with research translation and implementation science. RESULTS: Of 296 term occurrences, "model" appeared 165 times, predominantly referring to statistical analysis or artificial intelligence rather than implementation frameworks. "Implementation" appeared 20 times, with only two papers explicitly addressing implementation science concepts. Terms such as "theory," "determinant," "behavior," and "transfer" yielded zero results. CONCLUSIONS: A substantial gap exists between clinical research and implementation-focused approaches in the anterior cruciate ligament surgery literature. We argue that efficacy studies should be accompanied by structured implementation frameworks, and that these should be integrated within existing organizational safety and quality improvement mechanisms. Process frameworks provide accessible entry points for connecting evidence-based recommendations to audit cycles, accreditation requirements, and clinical governance systems. This integration may better support systematic translation of anterior cruciate ligament research into routine practice settings. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A662.