全踝关节置换术后的运动和活动限制：一项针对骨科足踝专科医生的调查。
Sport and activity restrictions following total ankle replacement: A survey of orthopaedic foot and ankle specialists.
作者信息
Macaulay Alec A, VanValkenburg Scott M, DiGiovanni Christopher W
机构信息
Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
The Upstate Bone and Joint Center, 6620 Fly Road, Suite 100, East Syracuse, NY 13057, USA.
出版信息
Foot Ankle Surg. 2015 Dec;21(4):260-5. doi: 10.1016/j.fas.2015.01.014. Epub 2015 Feb 18.
BACKGROUND
Despite an increasing utilization of total ankle replacement, surgeons have little guidance with regards to physical activity and sport participation recommendations following the procedure.
METHODS
Orthopaedic foot and ankle specialists were surveyed as to the activity and sports restrictions they place on their patients following ankle replacement. Fifty sports and activities were included and the results were used to derive a set of consensus recommendations. Of the 1063 surgeons that were sent the survey, 173 responded, yielding a response rate of 16.3%.
RESULTS
In general, surgeons were comfortable with aerobic or low impact sports and activities. Boot immobilized sports represented a grey area with the determination of whether or not to allow them based largely on the prior experience of the patient. High impact, cutting and jumping sports and activities were largely discouraged. Young age, high BMI and poor bone quality led surgeons to be more restrictive.
CONCLUSIONS
These consensus recommendations serve as a useful guideline for surgeons and help patients set appropriate expectations for the procedure.
背景
尽管全踝关节置换术的应用日益增多，但对于术后的身体活动和运动参与建议，外科医生几乎没有指导意见。
方法
对骨科足踝专科医生进行了调查，询问他们对踝关节置换术后患者的活动和运动限制。共纳入了50项运动和活动，结果用于得出一组共识性建议。在发送调查问卷的1063名外科医生中，173人回复，回复率为16.3%。
结果
总体而言，外科医生对有氧运动或低强度运动及活动比较放心。使用靴子固定的运动存在争议，是否允许进行很大程度上取决于患者的既往经验。高强度、有急停动作和跳跃的运动及活动大多不被鼓励。患者年龄小、体重指数高和骨质差会使外科医生限制更严格。
结论
这些共识性建议对外科医生是有用的指导方针，并有助于患者对该手术设定适当的期望。
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