关节骨骨折后恢复比赛 - 一个系统的审查和元分析
Conor J Kilkenny1,2, Gordon R Daly2, Sean P Whelehan3
1Department of Orthopaedics, Tallaght University Hospital, Dublin, Ireland.
JSES reviews, reports, and techniques
|May 5, 2025
概括
关节骨骨折的运动员有很高的回归率 (RTP),其中91%的人回归体育. 操作管理可能会改善恢复到受伤前的水平,但侧侧骨折仍然具有挑战性.
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:
- 关节骨骨折在运动员中很常见,占运动相关骨折的10%.
- 治疗决策取决于骨折的严重程度和位置,影响回归游戏 (RTP).
- 最近对RTP率和影响运动员关节骨骨折的因素进行了有限的系统审查.
研究的目的:
- 系统地审查关节骨骨折后运动员的回归游戏 (RTP) 率.
- 检查骨折类型,位置和管理对RTP结果的影响.
- 提供有关关节骨骨折的运动员RTP的综合数据.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在多个数据库 (PubMed,EMBASE,Cochrane,CINAHL,Web of Science,Scopus) 搜索相关的临床研究.
- 包括33项涉及1087名患者的研究,涉及独立数据提取和质量评估.
主要成果:
- 整体RTP率为91%,其中86%的人恢复到相同的游戏水平.
- 中间骨折有100%的RTP,而侧面骨折有78%的RTP.
- 与非手术 (78%) 相比,手术管理显示了较高的RTP到伤害前水平 (92%);平均RTP时间为3.1个月 (手术) 和3.9个月 (非手术).
结论:
- 高的RTP率可以通过关节骨骨折的手术和非手术治疗来实现.
- 侧关节骨骨折为最佳的RTP带来了持续的管理挑战.
- 考虑功能需求和患者偏好的个性化治疗决策对于优化RTP结果至关重要.
更多相关视频
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
318
15:11Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
Published on: January 5, 2015
62.8K
相关概念视频
01:26Flail Chest-II
136
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:
136
01:27Fractures: Bone Repair
2.8K
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...
2.8K