基于共识的指导方针,用于管理青少年首次带脱位的管理
Shital N Parikh1, John A Schlechter2, Matthew W Veerkamp1
1Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Journal of pediatric orthopedics
|January 23, 2024
概括
首次带脱的共识指南建议非手术治疗,早期物理治疗,并在2-4个月后恢复运动. 建议在持续的亚脱或骨质突骨折时进行手术.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 临床指南 临床指南
背景情况:
- 第一次骨脱的管理缺乏标准化的基于证据的协议.
- 目前的手术和非手术治疗方法存在显著的变化.
研究的目的:
- 建立基于共识的指导方针,用于非手术性管理首次带脱.
- 制定指导方针来管理失败的非手术治疗和骨髓骨折的脱位.
主要方法:
- 一个29个问题,基于案例的调查被开发和代的Patellofemoral研究兴趣小组.
- 这项调查是通过REDCap.com向运动医学学会儿科研究会的成员进行的.
- 共识被定义为对调查答案达成>66%的共识.
主要成果:
- 11条基于共识的指南来自79名受访成员 (50%的回复率).
- 对于初始放射和非手术治疗,包括在一个月内进行物理治疗,达到了高度共识 (99%).
- 指导方针建议在2-4个月内恢复运动,包括支架 (75%),持续性亚脱位 (84%) 的手术干预,以及骨髓骨折 (81.5%) 的骨稳定.
结论:
- 协商一致的指导方针提供了关于管理首次带脱位的建议,无论是否有骨质突骨折.
- 这些指南反映了不断变化的临床趋势,并确定了未达成共识的未来研究领域.
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