Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025 · 共識（依標題推測）
The formal EU-US Meniscus Rehabilitation 2024 Consensus: An ESSKA-AOSSM-AASPT initiative. Part II-Prevention, non-operative treatment and return to sport
膝 · 半月板撕裂
中文閱讀摘要
ESSKA等機構發布半月板損傷預防、非手術治療及重返運動共識，因證據有限，建議非手術治療為退變性損傷首線，重返運動需結合標準與時間。
AI 依來源摘要整理，未經人工逐篇核對。閱讀結論前，請回溯研究族群、方法與限制。
原始摘要
Purpose
Part two of this consensus aimed to provide recommendations for the prevention of meniscus injuries, non-operative treatment of acute tears and degenerative lesions, return to sports and patient-reported outcome measures.
Methods
This consensus followed the European Society of Knee Surgery, Sports Traumatology and Arthroscopy (ESSKA) formal consensus methodology. For this combined ESSKA-American Orthopedic Society for Sports Medicine (AOSSM)-American Academy of Sports Physical Therapy (AASPT) initiative, 67 experts from 14 countries, including orthopedic surgeons and physiotherapists, were involved. The 26 Steering Group members established guiding questions, screened the existing evidence, and proposed statements, and provided Grades of recommendations. The 41 Rating Group members assessed the statements according to a Likert scale (1-9). Final documents were assessed by an international peer review group for geographical adaptability.
Results
Low to moderate scientific level of evidence was available, so that grades of recommendations were low (three Grade A ratings, four Grade B, three Grade C and 13 Grade D), underlining the relevance of this consensus. One strong and 17 relative agreements with overall median of 8 (8-9) and a mean of 7.92 ± 0.37 were achieved for 23 statements on 18 questions. Prevention of meniscus injuries is possible with general knee injury reduction programmes and through avoidance of certain activities. Non-operative treatment including physical therapy is the first line approach for degenerative meniscus lesions and may be an option for some acute tears. Return to sports after meniscus tear surgery should be both criterion-based and time-based. Patient reported outcomes in combination with performance-based measures are recommended to evaluate the rehabilitation process.
Conclusion
This international EU-US consensus established recommendations for prevention strategies, describes rehabilitation of non-operated patients and of patients after partial meniscectomy, meniscus repair and meniscus reconstruction, and establishes return to sport criteria. These updated and structured recommendations may be applied by surgeons and physiotherapists.
Level of evidence
Level I, consensus.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1002/ksa.12689
- PMID／PMCID
- 40501314 / PMC12310080
- 作者
- Prill R, Ma CB, Wong SE, Beaufils P, Monllau JC, Arhos EK, Becker R, Villa FD, Goodloe JB, Irrgang JJ, Klugarova J, Klosterman EL, Królikowska A, Krych AJ, LaPrade RF, Manske R, van Melick N, Monson JK, Ostojic M, Paterno MV, Piontek T, Perelli S, Rambaud A, Robinson J, Schmitt LC, Senorski EH, Snaebjornsson T, Tagliero AJ, Giordano AO, Pujol N
- 首次發表日期
- 2025-06-12Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 33 ／ 8 ／ 3014-3024
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
Prill R, Ma CB, Wong SE, Beaufils P, Monllau JC, Arhos EK, Becker R, Villa FD, Goodloe JB, Irrgang JJ, Klugarova J, Klosterman EL, Królikowska A, Krych AJ, LaPrade RF, Manske R, van Melick N, Monson JK, Ostojic M, Paterno MV, Piontek T, Perelli S, Rambaud A, Robinson J, Schmitt LC, Senorski EH, Snaebjornsson T, Tagliero AJ, Giordano AO, Pujol N. The formal EU-US Meniscus Rehabilitation 2024 Consensus: An ESSKA-AOSSM-AASPT initiative. Part II-Prevention, non-operative treatment and return to sport. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 2025;33(8):3014-3024. PMID: 40501314. PMCID: PMC12310080. doi:10.1002/ksa.12689
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