前交叉韧带重建围手术期血流限制概念的最新进展

Update on Current Concepts of Blood Flow Restriction in the Perioperative Period of Anterior Cruciate Ligament Reconstruction

前交叉韧带撕裂或断裂是常见的骨科损伤。前交叉韧带重建(ACLR)是一种骨科手术,允许早期恢复运动,改善维持生活方式的需求,并恢复膝关节的稳定性和运动学。最近引起人们兴趣的围手术期康复辅助手段是血流限制(BFR),这是一种暂时限制血液流向选定肢体的方法,可以在术后几天内使用。有越来越多的调查和最近的文献关于BFR。本文综述了目前在ACLR围手术期使用BFR的概念。

Anterior cruciate ligament tears or ruptures are common orthopedic injuries. Anterior cruciate ligament reconstruction (ACLR) is an orthopedic procedure allowing for earlier return to sports, improved maintenance of lifestyle demands, and restoring knee stability and kinematics. A perioperative rehabilitative adjunct recently gaining interest is blood flow restriction (BFR), a method in which temporary restriction of blood flow to a chosen extremity is introduced and can be used as early as a few days postoperative. There has been increasing investigation and recent literature regarding BFR. This review synthesizes current concepts of BFR use in the ACLR perioperative period.