在膝盖周围的骨切除术后的术后管理:叙述性综述
Felix Christoph Finger1, Steffen Schröter2,3, Christoph Ihle1
1BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany.
EFORT open reviews
|July 1, 2024
概括
本综述总结了膝关节骨切除术的恢复选择. 证据支持药理学血栓塞栓症预防和特定的重量承载协议,但对其他治疗方法需要更多的研究.
科学领域:
- 整形外科手术 整形外科手术
- 再生医学是一种再生医学.
- 运动医学 运动医学
背景情况:
- 膝盖周围的骨切除术是常见的骨科手术.
- 有效的术后管理对于最佳的患者结果和康复至关重要.
- 目前的文献缺乏在膝关节骨切除术后进行术后护理的标准化方法.
研究的目的:
- 综述和总结膝关节骨切除术后当前的术后治疗方式.
- 评估证据支持膝关节骨切除术恢复的各种治疗方案.
- 确定需要进一步研究以建立标准化的协议的领域.
主要方法:
- 现有科学文献的叙事审查.
- 对讨论软骨再生,疼痛管理,排水,带使用,血栓栓塞预防,承重和骨巩固的研究进行分析.
- 综合有关不同术后干预措施有效性的证据.
主要成果:
- 证据支持使用药理性血栓栓塞瘤预防.
- 特定的承重协议证明了有效性.
- 关于软骨再生,疼痛管理,排水,带使用和骨巩固的标准化协议的证据不足.
结论:
- 膝关节骨切除术后的术后护理需要进一步调查.
- 虽然一些干预措施,如药理性血栓栓塞瘤预防和重量承载协议得到证据的支持,但目前缺乏全面的标准化治疗概念.
- 未来的研究应该专注于为术后管理的其他方面产生强有力的证据,以优化膝关节骨切除术的结果.
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