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在哈格隆德手术后使用威利特的协议,早期体重减轻的早期结果.

Bryanna D Vesely1, Brennan K Reardon1, Aaron T Scott1

  • 1*Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC.

Journal of the American Podiatric Medical Association
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此摘要是机器生成的。

在插入阿基里斯肌病手术后,使用威利茨协议的早期动员显著降低了疼痛. 这种方法显示了低的重复手术率,使患者能够比传统方法更快地移动.

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科学领域:

  • 整形外科手术 整形外科手术
  • 运动医学 运动医学
  • 脚和脚手术 脚和脚手术

背景情况:

  • 插入性阿基里斯肌病是一种普遍的疾病,需要手术干预.
  • 目前的术后治疗方案缺乏标准化,导致患者的治疗结果变化.
  • 在部分切除术中脱离和重新连接阿基里斯肌是有希望的,但需要优化康复.

研究的目的:

  • 追溯评估Willits协议在为插入阿基里斯肌病症进行手术的患者早期动员的疗效.
  • 通过这种早期动员策略来评估疼痛减轻,重新手术率和整体患者结果.
  • 为插入性阿基里斯肌病的手术建立一个明确的术后方案.

主要方法:

  • 对25名患者 (29英尺) 的回顾性图表审查,他们接受了Haglund形的插入性阿基里斯肌病.
  • 手术干预涉及阿基里斯肌的脱离和重新连接,部分切除.
  • 术后护理包括启动Willits协议,用于早期动员,并进行放射和临床评估.

主要成果:

  • 观察到显著的术后疼痛减轻,从平均6.14降至1.53在10分级.
  • 低的重复手术率为10.3%,原因包括感染,肌破裂和小腿紧张.
  • 一名患者 (3.4%) 在创伤后经历了术后破裂,突出显示了潜在的并发症.

结论:

  • 最初用于阿基里斯肌破裂的威利茨协议,在插入阿基里斯肌病手术后早期动员时是有效的.
  • 这种方案可以改善患者的疼痛水平,并降低重新手术率.
  • 早期动员威利茨协议提供了一个可行的和潜在的优越替代传统的,更具限制性的术后方案.