足踝外科早期功能康复

IF 0.7 4区 医学 Q4 ORTHOPEDICS
Clinics in Podiatric Medicine and Surgery Pub Date : 2024-01-01 Epub Date: 2023-08-12 DOI:10.1016/j.cpm.2023.07.001
Sandeep Patel, Shontal Behan Dionisopoulos, Monte Jay Schmalhaus
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引用次数: 0

摘要

普通足部和踝关节手术的传统术后处理涉及长时间的固定和非负重。关注的是矫正丢失和固定失败。然而,有研究表明,长时间不负重可使患者易患深静脉血栓、废用性骨质减少、心血管并发症和全身性疾病。作者所在机构发表的研究回顾了首次跖趾关节融合术、改良Lapidus拇囊炎切除术和踝关节骨折切开复位内固定术后早期负重的疗效。本文重点介绍了支持早期负重方案安全性的文献和基本原理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early Functional Rehabilitation in Foot and Ankle Surgery.

The traditional postoperative management of common foot and ankle procedures has involved a prolonged period of immobilization and nonweight bearing. The concern was loss of correction and fixation failure. However, it has been shown that a prolonged period of nonweight bearing can predispose patients possible deep vein thrombosis, disuse osteopenia, cardiovascular complications, and generalized deconditioning. The authors' institution has published studies reviewing the efficacy of early weight bearing after first metatarsophalangeal joint arthrodesis, modified Lapidus bunionectomy, and open reduction and internal fixation of ankle fractures. This article highlights the literature and rationale supporting the safety of early weight-bearing protocols.

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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
86
期刊介绍: Each issue of Clinics in Podiatric Medicine and Surgery updates you on the latest trends in patient management, keeps you up to date on the newest advances, and provides a sound basis for choosing treatment options. Each issue focuses on a single topic in podiatry and is presented under the direction of an experienced editor. Topics include charcot foot, the diabetic foot, imaging, pain management, ankle arthritis, foot and ankle arthroscopy, bunions, athletic injuries, wound and bone healing, fractures, dislocations, sprains, torn ligaments, amputations, infections, tumors, congenital deformities, and joint destruction.
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