快速康复对前交叉韧带重建术后骨隧道扩大的影响研究进展

关键词：前交叉韧带重建术；快速康复；骨隧道扩大

中图分类号：R493；R684 文献标识码：A 文章编号：1000-503X（2025）04-0634-10

DOI：10.3881/j.issn.1000-503X.16395

Research Progress in the Impact of Accelerated Rehabilitation on Bone Tunnel Enlargement After Anterior Cruciate Ligament Reconstruction

TANG Wenbo1.2.3，GAO Feng34， ZHANG Xiaohan1，2，3， ZHANG Bingying 1，2，3 DUAN Hao2.5， ZHOU Jingbin2，4

（204号 1 Schoolof Sports Medicine and Rehabilitation，Beijing Sport University，Beijing lo84，China 2 Department of SortandRehabilitation Medicine，Beijing Chao-yang Hospital，Capital Medical University，Beijing10oo2O，China （204号 3 DepartmentofJoint Sports Trauma，Sports Hospital，Instituteof SportsMedicine，GeneralAdministrationof Sportof China， Beijing 100061，China （204号 4 KeyLaboratoryof Sports Trauma and Rehabilitation，General Administration of Sportof China，Beijing 1Ooo61，China 5 China Institute of Sport Science，Beijing 100061，China

Corresponding author：ZHOUJingbin Tel：O1O-89138391，E-mail：jingbinzhou@163.con

ABSTRACT： This paper explores the impacts of accelerated rehabilitation protocols following anterior cruciateligament reconstruction（ACLR）on bone tunnel enlargement（BTE）.While accelerated rehabilitation can shorten the recovery time and improvethe knee function，it may increase the risk of BTE.In the early rehabilitation phase after ACLR，excessive early weight-bearing and rapid progression of knee flexion angles should be avoided，along with the proper use of braces.Continuous passve motion is not recommended in theearly phase post-ACLR to prevent potential efects on BTE.Further research is needed to investigate the mechanisms of BTE and develop more efective rehabilitation strategies.This will help toselect appropriate rehabilitation protocols for patients and balance functional recovery with the risk of BTE，therebyreducing the revision rate and improving postoperative outcomes.

Key words：anterior cruciate ligament reconstruction；accelerated rehabilitation；bone tunnel enlargement ActaAcadMedSin，2025，47（4）：634-643

膝关节前交叉韧带（anteriorcruciate ligament，ACL）损伤是膝关节的常见损伤之一，损伤后出现的膝关节不稳和疼痛等问题会导致患者难以重返运动[1]。（剩余26600字）