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在全面脚关节整形术后恢复运动:系统性审查和元分析

Alberto Arceri¹, Antonio Mazzotti^1,2, Simone Zielli¹

¹1st Orthopaedics and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136, Bologna, Italy.

Journal of orthopaedics

|September 13, 2023

概括

关节整形术 (TAA) 允许许多患者恢复运动,其中61.9%的患者在手术后参与. 精选的个体,特别是具有较低BMI和非炎症性关节炎的年轻男性,在低影响性活动中获得更好的结果.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
生物机械工程生物机械工程

背景情况:

植入物的技术进步扩大了关节整形术 (TAA) 的适用范围.
TAA的目标是使患者能够保持积极的生活方式,包括参加体育运动.
了解TAA后的体育回归率和可实现的活动水平对于患者咨询至关重要.

研究的目的:

系统地审查和分析TAA后回归体育的机会.
为了评估可以实现的活动水平和体育患者类型,参与TAA后的运动.
确定与成功恢复体育运动相关的患者特征.

主要方法:

在PubMed,Scopus和Cochrane数据库中的系统文献搜索.
对至少4项研究报告的结果得分进行的元分析.
遵循PRISMA指导方针;使用MINORS标准评估偏差风险.

主要成果:

包括11项研究,分析了TAA后体育参与数据.
术后平均体育参与率为61.9%,92%的人恢复到手术前的活动水平.
年轻的男性患者,体重指数较低,患有非炎症性关节炎,表现明显更好.
最常见的运动包括骑自行车,游泳,徒步旅行和体操;冲击运动很少见.

结论:

选择的患者可以在TAA后恢复运动,主要是低需求的活动.
目前的证据有限,对年轻活跃运动员TAA的强有力的建议尚未得到支持.
需要进一步的前性随机研究,以确定TAA后体育活动的准确预期.

关键词:

脚关节炎脚关节炎运动运动运动运动运动.整体脚关节整形手术整体脚置换整体脚置换

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