05/12/2025
🦵 斷咗前十字韌帶 (ACL) 之後應該幾時做手術？係咪越早越好？
近二十年的研究指出，受傷後過早進行手術（約 1–3 週內），膝關節更容易出現關節纖維化，影響日後的復原及活動度。
其實除了「時間」之外，膝關節的準備狀態亦是決定手術時機的重要因素，包括：
✅腫脹完全消退
✅膝關節活動度恢復至與健側相近
✅股四頭肌力量達至另一側約 80%
這些條件可讓手術後的復康更順利，成效更佳。研究亦發現，受傷後超過一年才手術，會增加內側半月板二次受傷的風險。因為 ACL 斷裂後，內側半月板會代償穩定膝蓋，承受更大壓力。
🔎 所以如果不幸受傷，並非越早開刀越好，而是應盡早接受專業物理治療 (Prehab)，監察膝關節狀況，為手術和復康打好基礎。
🩺 本中心的治療療程均由香港註冊物理治療師提供一對一服務。如有任何身體不適或痛症問題，歡迎隨時諮詢我們的物理治療師。
🦵 After an ACL tear, when should you consider surgery? Is earlier always better?
Research from the past 20 years shows that having surgery too early (around 1–3 weeks after injury) increases the risk of arthrofibrosis, which may limit knee mobility and slow recovery.
In fact, beyond just “timing,” the readiness of the knee is an important factor when deciding the optimal time for surgery, including:
✅ Swelling completely resolved
✅ Knee range of motion restored close to the uninjured side
✅ Quadriceps strength reaching about 80% of the other leg
Meeting these conditions can lead to a smoother and more effective post-operative recovery.
Research also indicates that delaying surgery for more than one year after injury increases the risk of medial meniscus re-injury, because without the ACL, the meniscus becomes the primary stabilizer and takes on greater load.
🔎 So if you unfortunately sustain an ACL tear, earlier surgery is not always better. Starting proper prehab with a professional physiotherapist is key to monitoring progress and preparing the knee well before surgery and rehabilitation.
🩺 Treatments at our center are all conducted one-on-one by registered physiotherapists. If you have any discomfort or pain-related concerns, don’t hesitate to consult our physiotherapists.
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