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一个修改的德尔菲共识声明关于骨不稳定:第一部分.

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科学领域:

  • 整形外科 整形外科 整形外科
  • 运动医学 运动医学
  • 膝盖外科手术 膝盖外科手术

背景情况:

  • 带不稳定是一种常见的疾病,需要有效的管理策略.
  • 中间骨骨关节复合体 (MPFC) 在骨稳定性中起着至关重要的作用.
  • 建立专家共识对于优化治疗方案至关重要.

研究的目的:

  • 制定关于诊断和非手术治疗带不稳定的共识陈述.
  • 为了确定中间骨骨复合体 (MPFC) 修复的指示.
  • 使用修改后的Delphi方法来达成专家协议.

主要方法:

  • 来自11个国家的60名外科医生参加了会议.
  • 外科医生被分为七个工作组,专注于带不稳定的子话题.
  • 共识是由协议水平来定义的:80-89% (共识),90-99% (强大的共识),100% (一致).

主要成果:

  • 在27个声明中,17个达成共识 (3个一致,14个强烈共识).
  • 在评估儿科患者的体质状况以及在术后非手术管理中早期动员/抵抗训练方面达成了一致的协议.
  • 五个声明,包括膝盖固定和MPFC修复指示,没有达成共识.

结论:

  • 专家们就儿科状骨不稳定性评估和非手术后管理康复的关键方面达成共识.
  • 仍然存在重大分歧,涉及固定,骨科生物学的作用,以及MPFC修复的特定手术指示.
  • 需要进行进一步的研究,以解决缺乏专家共识的专家在状骨不稳定性管理方面的领域.