成年人的脚骨折的康复治疗
Sharon R Lewis1,2, Michael W Pritchard1, Roses Parker3
1Bone and Joint Health, Blizard Institute, Queen Mary University of London, London, UK.
The Cochrane database of systematic reviews
|September 23, 2024
概括
早期的承重和可拆卸的脚支可能会为脚骨折的恢复提供轻微的改善,但临床意义通常很小. 两种方法似乎都没有增加重新手术的风险,尽管物理治疗干预的证据仍然不确定.
科学领域:
- 整形和康复医学 整形和康复医学
- 骨折管理中的基于证据的实践
背景情况:
- 脚骨折是常见的下肢损伤,固定可能导致软弱,硬和疼痛.
- 康复对于减轻骨折后并发症和改善功能结果和生活质量至关重要.
- 本综述是之前关于脚骨折康复的科克莱恩综述的更新,最后一次发表于2012年.
研究的目的:
- 评估成年人骨骨折后手术或非手术治疗的各种康复干预措施的有效性.
- 评估对脚功能,与健康相关的生活质量,疼痛,参与者的满意度和不良事件的影响.
主要方法:
- 随机对照试验 (RCT) 和准RCT的系统审查和元分析.
- 在多个数据库 (CENTRAL,MEDLINE,Embase) 进行搜索,截至2023年3月.
- 包括的研究比较了不同的康复策略,重点是早期与延迟的承重,可拆卸与不可拆卸的支,以及物理治疗与常规护理.
主要成果:
- 早期 (在3周内) 举重可能会稍微改善脚功能,但可能没有临床意义;对生活质量的影响很小.
- 可拆卸的脚支可以在手术后对脚功能和生活质量提供适度的改善,但对疼痛和重新手术的影响尚不确定.
- 与常规护理相比,物理治疗干预的证据确定性非常低,对于大多数结果的有效性不确定.
结论:
- 早期承重和可拆卸的脚支在六个月内显示出对脚骨折恢复的潜在益处,尽管临床重要性各不相同.
- 早期的承重器和可拆卸支器似乎都没有显著增加手术治疗患者重新手术的风险.
- 由于证据有限且确定性低,物理治疗干预措施的有效性仍然不确定.
更多相关视频
07:24Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
10.3K
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
375
相关概念视频
01:27Fractures: Bone Repair
3.0K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.0K
01:10Ankle Joint
1.5K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.5K
01:26Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160