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术后康复和回归体育的标准缺乏标准化手术修复后的甲手腕骨折:一个系统的审查

Brian M Phelps¹, Nikhilesh Mehra², Kihoon Bohle²

¹Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas, U.S.A.

Arthroscopy, sports medicine, and rehabilitation

|July 22, 2025

概括

在手腕下骨折手术后恢复运动的标准缺乏共识. 康复通常包括早期的运动范围和支架,但缺少恢复体育运动的客观措施.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
康复科学是康复的科学.

背景情况:

甲手腕骨折是常见的伤害,特别是在运动员中.
移位或不稳定的骨折通常需要手术干预.
建立明确的术后康复和恢复运动 (RTS) 准则对于最佳的患者结果至关重要.

研究的目的:

系统地审查和确定手术后康复参数和第二到第五甲骨骨折的手术治疗骨折的恢复体育标准.

主要方法:

对一至四级研究进行了系统审查.
研究包括手术治疗的非指甲手腕骨折,以及至少12个月的随访.
对RTS标准,RTS结果和方法质量的评估研究.

主要成果:

只有3项研究符合纳入标准,涉及6项体育运动的91名患者.
恢复运动的时间表在手术后1.8至3.4周之间.
康复方案通常使用运动范围和支架;所有研究都使用了主观的RTS标准,但没有提供客观的措施.

结论:

在手术修复甲手腕骨折后的康复和RTS标准上存在显著的缺乏共识.
早期运动范围的进展和支架经常被使用.
主观的标准,根据运动和外科医生的偏好而有所不同,比RTS的具体客观测量更为普遍.

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