远端三肌修复后的康复:一个范围审查
Catherine Chong1, Andrea Mc Kittrick2, Ian Shelton3
1Physiotherapy Department, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
概括
远端三脚骨破裂的手术修复缺乏标准化的术后方案. 本综述强调需要高质量的证据,如随机对照试验,以指导康复和改善三肌修复后的患者结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 远端三脚骨断裂是不常见的伤害,需要进行手术修复以恢复功能.
- 目前的文献介绍了各种固定技术和术后康复方案.
研究的目的:
- 综合审查和批判性地评估现有的 postoperative 协议的知识和继远部三肌修复后的并发症.
- 将肌愈合的原则应用于临床实践.
主要方法:
- 根据乔安娜·布里格斯研究所的框架进行了范围审查.
- 纳入标准侧重于对成年人进行的英语研究,这些成年人患有完全的远端三骨断裂,使用经过验证的结果指标.
- 包括灰色文学在内的定量和定性文献都被系统地搜索和合成.
主要成果:
- 该审查确定了18篇定量性文章和16篇符合纳入标准的专家意见/叙述性评论.
- 没有找到标准化的术后方案;在距离,强化和恢复功能的时间上存在显著的变化.
- 报告的常见并发症包括肌重裂,感染,疼痛和部神经神经病变.
结论:
- 目前对三脚修复结果的理解是基于低水平的证据.
- 随机对照试验对于评估手术构造和治疗干预至关重要.
- 康复方案通常从固定到活动范围,强化和恢复体育运动,以一般肌愈合原则为指导.
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