[1]宋行行,叶明辉,张金朋.前交叉韧带损伤的生物力学机制与治疗研究进展[J].中医正骨,2026,38(07):56-61.
 SONG Hanghang,YE Minghui,ZHANG Jinpeng.Advances in research on biomechanical mechanisms and treatment of anterior cruciate ligament injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2026,38(07):56-61.
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前交叉韧带损伤的生物力学机制与治疗研究进展()

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第38卷
期数:
2026年07期
页码:
56-61
栏目:
综述
出版日期:
2026-07-20

文章信息/Info

Title:
Advances in research on biomechanical mechanisms and treatment of anterior cruciate ligament injuries
作者:
宋行行1; 叶明辉2; 张金朋3
1.黑龙江中医药大学基础医学院,黑龙江 哈尔滨 150040; 2.山东协和学院,山东 济南 250109; 3.黑龙江中医药大学附属第二医院,黑龙江 哈尔滨 150001
Author(s):
SONG Hanghang; YE Minghui; ZHANG Jinpeng
关键词:
前交叉韧带损伤;  生物力学现象;  前交叉韧带重建术;  康复;  综述
摘要:
前交叉韧带(anterior cruciate ligament,ACL)损伤是常见的运动相关损伤,其发生机制涉及解剖结构、生物力学负荷及神经肌肉控制异常等因素。ACL损伤不仅导致膝关节稳定性下降,还可增加半月板损伤及创伤性骨关节炎风险。本文介绍了ACL的解剖结构与生物力学功能,对ACL损伤的生物力学机制与治疗研究进展进行了综述。

参考文献/References:

[1] APSELOFF N A,HUGHES J D,DEVITT B M,et al.Primary anterior cruciate ligament injury:extrinsic and intrinsic risk factors[J].J Am Acad Orthop Surg,2024,33(13):693-702.
[2] BAI W,SHI W,XU C,et al.Lower body mass index,higher Beighton score,complete anterior cruciate ligament tear,concomitant injuries to medial collateral ligament,anterolateral complex and meniscus especially posterior horn are risk factors for preoperative high-grade pivot shift under anaesthesia of patients with anterior cruciate ligament injury:a systematic review and meta-analysis[J].Knee Surg Sports Traumatol Arthrosc,2026,34(3):855-872.
[3] MAGAÑA-RAMÍREZ M,GALLARDO-GÓMEZ D,ÁLVAREZ-BARBOSA F,et al.What exercise programme is the most appropriate to mitigate anterior cruciate ligament injury risk in football(soccer)players? A systematic review and network meta-analysis[J].J Sci Med Sport,2024,27(4):234-242.
[4] WATSON S L,GOHAL C,OWEN M M,et al.A systematic review and meta-analysis of anterior cruciate ligament injury prevention programs:training to stay in the game[J].Am J Sports Med,2026,54(3):733-740.
[5] MANOJLOVIC M,NINKOVIC S,MATIC R,et al.Return to play and performance after anterior cruciate ligament reconstruction in soccer players:a systematic review of recent evidence[J].Sports Med,2024,54(8):2097-2108.
[6] COLOMBO V,VALENCIC T,STEINER K,et al.Comparison of blood flow restriction interventions to standard rehabilitation after an anterior cruciate ligament injury:a systematic review[J].Am J Sports Med,2024,52(14):3641-3650.
[7] SIMONSSON R,PIUSSI R,HÖGBERG J,et al.Rehabilitation and return to sport after anterior cruciate ligament reconstruction[J].Clin Sports Med,2024,43(3):513-533.
[8] FILBAY S R,BULLOCK G,RUSSELL S,et al.No difference in return-to-sport rate or activity level in people with anterior cruciate ligament(ACL)injury managed with ACL reconstruction or rehabilitation alone:a systematic review and meta-analysis[J].Sports Med,2025,55(9):2191-2205.
[9] SORENSEN H H,LITTLE K,CHRISTIANSEN M J,et al.Understanding sex-based differences in anterior cruciate li-gament injury risk and management[J/OL].JBJS Rev,2026,14(1)[2026-01-26]. https://pubmed.ncbi.nlm.nih.gov/41587288/.
[10] ACHENBACH L,BLOCH H,KLEIN C,et al.Four distinct patterns of anterior cruciate ligament injury in women's professional football(soccer):a systematic video analysis of 37 match injuries[J].Br J Sports Med,2024,58(13):709-716.
[11] CHAPUT M,SIMON J E,TABERNER M,et al.From control to chaos:visual-cognitive progression during recovery from ACL reconstruction[J].J Orthop Sports Phys Ther,2024,54(7):431-439.
[12] SMITH M J,HOFFMAN N J,JOSE A J S,et al.Nutritional interventions to attenuate quadriceps muscle deficits following anterior cruciate ligament injury and reconstruction[J].Sports Med,2025,55(3):569-596.
[13] KOTSIFAKI R,KING E,BAHR R,et al.Is 9 months the sweet spot for male athletes to return to sport after anterior cruciate ligament reconstruction?[J].Br J Sports Med,2025,59(9):667-675.
[14] NEDDER V J,RAJU A G,MOYAL A J,et al.Impact of psychological factors on rehabilitation after anterior cruciate ligament reconstruction:a systematic review[J].Sports Health,2025,17(2):291-298.
[15] LI Y,PENG J,CAO J,et al.Effectiveness of virtual reality technology in rehabilitation after anterior cruciate ligament reconstruction:a systematic review and meta-analysis[J].PLoS One,2025,20(3):e0314766.
[16] CORTÉS-PÉREZ I,DESDENTADO-GUILLEM J M,CAMACHO-DELGADO M S,et al.Virtual reality-based therapy after anterior cruciate ligament injury effectively reduces pain and improves knee function,movement patterns,and dynamic balance:a systematic review and meta-analysis[J].Knee Surg Sports Traumatol Arthrosc,2025,33(5):1736-1753.
[17] TODOR A.Advances in anterior cruciate ligament injury.R econstruction and rehabilitation[J].Medicina(Kaunas),2024,60(1):136.
[18] VITHARANA T N,KING E,WELCH N,et al.Sensorimotor dysfunction following anterior cruciate ligament injury(part 1).What is it?How can clinicians assess it?[J].J Orthop Sports Phys Ther,2025,55(6):1-17.
[19] WELLING W.Return to sports after an ACL reconstruction in 2024—a glass half full?A narrative review[J].Phys Ther Sport,2024,67:141-148.
[20] NADERI A,SHAABANI F,KEIKHA M,et al.Is an exercise-based injury-prevention program effective in team handball players?A systematic review and meta-analysis[J].J Athl Train,2024,59(8):845-856.
[21] CHEN Y,ZHENG S,YU L,et al.Assessment of landing stability in patients after anterior cruciate ligament injury and reconstruction:a systematic review and meta-analysis[J].Sports Health,2026,18(1):162-172.
[22] LEITE C B G,SMITH R,LAVOIE-GAGNE O Z,et al.Biologic impact of anterior cruciate ligament injury and reconstruction[J].Clin Sports Med,2024,43(3):501-512.
[23] UTOYO G A,HIDAYAT Y M,RAHIM A H,et al.Arthroscopic repair for acute anterior cruciate ligament rupture results in higher failure rates and greater residual knee laxity compared to reconstruction if performed more than 3 weeks after injury:a systematic review and meta-analysis[J].Knee Surg Sports Traumatol Arthrosc,2026,34(3):892-909.
[24] LAMBERT C,MEHL J,REINERT N,et al.High re-injury rates and poor outcomes after anterior cruciate ligament ruptures in Judo[J].Sportverletz Sportschaden,2026,40(1):25-31.
[25] BEARD D J,DAVIES L,COOK J A,et al.Comparison of surgical or non-surgical management for non-acute anterior cruciate ligament injury:the ACL SNNAP RCT[J].Health Technol Assess,2024,28(27):1-97.
[26] WEIR G.Anterior cruciate ligament injury prevention in sport:biomechanically informed approaches[J].Sports Biomech,2024,23(11):1867-1887.
[27] PASCHOS N K.Editorial commentary:personalized anterior cruciate ligament reconstruction and rehabilitation mitigate postoperative arthrofibrosis:prevention is the best approach[J].Arthroscopy,2024,40(5):1700-1702.
[28] WANG B,ZHANG Q,LI P,et al.Isokinetic muscle strength training combined with proprioceptive neuromuscular facilitation for rehabilitation of patients after anterior cruciate li-gament reconstruction:a protocol for a randomised controlled trial[J].BMJ Open,2025,15(2):e096036.
[29] MANFRE M G,RICHMAN E H,ARAUJO-ESPINOZA G,et al.Anterior cruciate ligament injuries in female athletes[J].Clin Sports Med,2026,45(3):409-421.
[30] HERGER S,WIRTH W,ECKSTEIN F,et al.Anterior cruciate ligament injury and age affect knee cartilage T2 but not thickness[J].Osteoarthritis Cartilage,2024,32(11):1492-1502.
[31] ISMAILIDIS P,NEOPOULOS G,EGLOFF C,et al.Simultaneous patellar tendon and anterior cruciate ligament rupture:a systematic review,meta-analysis and algorithmic approach[J].Arch Orthop Trauma Surg,2024,145(1):61.
[32] ZSIDAI B,PIUSSI R,WINKLER P W,et al.Age is not a primary risk factor for anterior cruciate ligament injury—a comprehensive review of anterior cruciate ligament injury and reinjury risk factors confounded by young patient age[J].Knee Surg Sports Traumatol Arthrosc,2026,34(1):17-33.
[33] CAKAR M,KARSLIOGLU B,BAYRAKTAR M K,et al.A new etiological cause for anterior cruciate ligament injury:E-Scooter[J].Acta Orthop Belg,2023,89(1):112-116.
[34] EGGER A C,PARIKH S N.Anterior cruciate ligament injury in skeletally immature patients[J].J Am Acad Orthop Surg,2025,33(5):e259-e273.
[35] INCLAN P M,BROPHY R H.Revision anterior cruciate li-gament reconstruction[J].Bone Joint J,2023,105-B(5):474-480.
[36] MIRALLES-IBORRA A,VERA-GARCIA F J,ELVIRA J L L,et al.Mechanisms,injury patterns and biomechanical factors of anterior cruciate ligament injuries in football(soccer):a systematic review and meta-analysis of video-analysis studies[J].Sports Med,2026,56(2):465-480.
[37] VITHARANA T N,KING E,WELCH N,et al.Sensorimotor dysfunction following anterior cruciate ligament injury(part 2):how can clinicians rehabilitate it?[J].J Orthop Sports Phys Ther,2025,55(7):1-9.
[38] BØE B.Nonoperative anterior cruciate ligament injury treatment[J].Clin Sports Med,2024,43(3):343-354.
[39] BROPHY R H,SILVERMAN R M,RAI M F.Mechanisms of anterior cruciate ligament injury-induced disruption of joint homeostasis and onset of osteoarthritis[J].Connect Tissue Res,2025,66(5):380-386.
[40] SOLIE B S,TOLLEFSON L V,DONEY C P,et al.Return to the pre-injury level of sport after anterior cruciate ligament reconstruction[J].Sportverletz Sportschaden,2025,39(2):87-104.
[41] ZHU T W,LI R X.Revision anterior cruciate ligament reconstruction and additional surgeries:a review[J].Medicine(Baltimore),2025,104(21):e42620.
[42] ZSIDAI B,KAARRE J,NARUP E,et al.Timing of anterior cruciate ligament surgery[J].Clin Sports Med,2024,43(3):331-341.
[43] KAARRE J,AHRENDT G,GIUSTO J D,et al.The effect of bony morphology on anterior cruciate ligament injury and surgery[J].Acta Orthop Traumatol Turc,2024,58(2):83-88.
[44] HOLUBA K,VERMEIJDEN H D,YANG X A,et al.Treating combined anterior cruciate ligament and medial collateral ligament injuries operatively in the acute setting is potentially advantageous[J].Arthroscopy,2023,39(4):1099-1107.
[45] ROBERTS J 4th,NESS B,CLELAND J,et al.Ligament injury in patients over 40 years old yields increased clinical outcome:a systematic review[J].Arthroscopy,2023,39(3):812-826.
[46] LUBOWITZ J H,BRAND J C,ROSSI M J.Return-to-sport outcomes after anterior cruciate ligament surgical treatment may be improved by attention to modifiable factors and consideration of nonmodifiable factors[J].Arthroscopy,2023,39(3):571-574.
[47] 欧阳钰龙,孙贵才.前交叉韧带损伤手术技术的进展[J].中国骨伤,2023,36(10):911-915.
[48] NORMAN D,TERRIAN L,NOVOSEL J,et al.Anterior cruciate ligament injury incidence across sex,sport,and competition level:a systematic review and meta-analysis[J].J Athl Train,2026,61(3):205-222.
[49] MCALEESE T,MACTIER L,BRYAN K,et al.Postoperative anterior cruciate ligament-return to sport after injury scores predict reinjury in adolescent athletes[J].Orthop J Sports Med,2026,14(5):23259671251410107.
[50] KHALED W,GEROMETTA A,GUERINI H,et al.Complete and partial tears of the anterior cruciate ligament:acute and evolution[J].Semin Musculoskelet Radiol,2025,29(3):390-402.
[51] ACQUAAH F,FONTALIS A,COLLIER W,et al.Current approaches to diagnosing and managing anterior cruciate li-gament injuries in skeletally immature patients[J].Bone Joint J,2026,108-B(1):9-20.
[52] WANG D,VALTONEN A M,THIEL T,et al.Effects of exercise-based ACL injury prevention interventions on knee motion in athletes:a systematic review and bayesian network meta-analysis[J].J Orthop Sports Phys Ther,2025,55(2):123-136.

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备注/Memo

备注/Memo:
通信作者:张金朋 E-mail:zhangjinpeng198706@126.com
(收稿日期:2026-02-26 本文编辑:郭毅曼)
更新日期/Last Update: 2026-07-20