PDF(Pubmed)
Abstract：
After an anterior cruciate ligament (ACL) injury, people need secondary prevention strategies to identify osteoarthritis at its earliest stages so that interventions can be implemented to halt or slow the progression toward its long-term burden. The Osteoarthritis Action Alliance formed an interdisciplinary Secondary Prevention Task Group to develop a consensus on recommendations to provide clinicians with secondary prevention strategies that are intended to reduce the risk of osteoarthritis after a person has an ACL injury. The group achieved consensus on 15 out of 16 recommendations that address patient education, exercise and rehabilitation, psychological skills training, graded-exposure therapy, cognitive-behavioral counseling (lacked consensus), outcomes to monitor, secondary injury prevention, system-level social support, leveraging technology, and coordinated care models. We hope this statement raises awareness among clinicians and researchers on the importance of taking steps to mitigate the risk of osteoarthritis after an ACL injury.
摘要：
前交叉韧带（ACL）损伤后，人们需要二级预防策略,以便在骨关节炎的早期阶段识别骨关节炎,以便实施干预措施,阻止或减缓其长期负担的进展.骨关节炎行动联盟成立了一个跨学科的二级预防工作组，就建议达成共识，为临床医生提供二级预防策略，旨在降低ACL损伤后骨关节炎的风险。该小组就16项针对患者教育的建议中的15项达成共识，锻炼和康复，心理技能训练,分级暴露疗法，认知行为咨询（缺乏共识），监测结果，二次伤害预防,系统层面的社会支持，利用技术，和协调的护理模式。我们希望这一声明能提高临床医生和研究人员对采取措施减轻ACL损伤后骨关节炎风险的重要性的认识。
