在接受骨瘤下肢挽救手术的患者中,功能恢复轨迹:一项观察性研究
Mattia Morri1, Enrico Venturini2, Alida Abbruzzese2
1Servizio di Assistenza Infermieristica Tecnica e della Riabilitazione, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136, Bologna, Italy. mattia.morri@ior.it.
下肢手术后的功能恢复因瘤位置而异. 盆腔重建显示了最慢的恢复,而远端股骨重建提供了最好的结果. 量身定制的物理治疗对于优化患者康复至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学 康复医学 康复医学
- 在瘤学瘤学.
背景情况:
- 下肢手术后的功能结果对于患者的康复至关重要.
- 瘤的解剖位置显著影响恢复轨迹.
- 了解这些差异有助于设定现实的康复目标.
研究的目的:
- 描述手术后头6个月的功能结果.
- 根据瘤解剖位置提供恢复轨迹的概述.
- 为了告知个性化物理治疗计划.
主要方法:
- 追溯观察队列研究 (2019年1月 - 2023年12月).
- 招募了接受下肢切除和重建以及术后康复的患者.
- 评估并发症,行走,爬楼梯,关节运动范围,肌肉强度,定时起步和起步,6分钟的行走测试,以及3个月和6个月的多伦多极端救援分数.
主要成果:
- 远距离大腿骨重建显示出最好的早期功能结果.
- 盆腔,靠近大腿骨和靠近骨的重建有更高的早期功能缺陷率.
- 盆腔重建始终显示最慢的恢复,显著的肌肉力量缺陷和较低的自主性.
结论:
- 下肢手术后的功能恢复轨迹根据下肢手术后的解剖部位有显著差异.
- 盆腔重建与远端股骨重建相比,与缓慢和不太令人满意的恢复有关.
- 靠近大腿骨和骨的重建显示出延迟但渐进的改善,强调需要特定位置的康复目标.
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