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一个修改的德尔菲共识声明关于骨不稳定:第二部分.

Eoghan T Hurley1,2, Seth L Sherman3, Jorge Chahla4

  • 1Department of Orthopedic Surgery, New York University Langone Health, New York, USA.

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这项关于状骨不稳定性管理的研究发现,在60名外科医生中,对于中部状骨关节 (MPFL) 重建或三整形等手术没有一致同意. 虽然在某些方面达成了强有力的共识,但关键的手术和康复问题仍在争论中.

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科学领域:

  • 整形外科手术 整形外科手术
  • 运动医学 运动医学
  • 帕特洛关节不稳定性管理

背景情况:

  • 骨不稳定是一种复杂的骨科疾病,需要多方面的管理策略.
  • 之前的研究 (第I部分) 涉及了骨不稳定性管理的方面.
  • 这项研究的重点是建立对先进的手术技术和康复的共识.

研究的目的:

  • 建立关于关键治疗带不稳定的共识陈述.
  • 为了达成专家一致意见,对中侧骨带 (MPFL) 重建,骨结核骨切除术,和三角管整形.
  • 确定关于康复方案和恢复体育的标准的共识.

主要方法:

  • 使用了经过修改的Delphi过程,涉及来自11个国家的60名骨科外科医生.
  • 外科医生根据子话题被分为七个工作组.
  • 达成共识的水平被定义为:共识 (80-89%),强烈共识 (90-99%) 和一致 (100%).

主要成果:

  • 在41个声明中,没有一个达成一致的共识.
  • 19个声明达到了强有力的共识,15个达到了共识.
  • 七个声明没有达到定义的共识值.

结论:

  • 虽然在骨不稳定管理的许多方面达成了重大协议,但没有达成一致的共识.
  • 缺乏共识的关键领域包括MPFL重建的具体情况 (,固定顺序),三整形指示/结果以及术后/康复方案.
  • 需要进行进一步的研究和讨论,以解决在管理骨不稳定性方面发现的分歧领域.