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全膝关节置换术中的围手术期物理治疗

Perioperative Physiotherapy in Total Knee Arthroplasty.

作者信息

Joice Melvin G, Bhowmick Subhrojyoti, Amanatullah Derek F

出版信息

Orthopedics. 2017 Sep 1;40(5):e765-e773. doi: 10.3928/01477447-20170518-03. Epub 2017 May 22.

Abstract

Total knee arthroplasty has a high success rate. In the interest of enhancing patient outcomes, numerous perioperative interventions have been studied, including preoperative education, preoperative rehabilitation, postoperative inpatient rehabilitation, continuous passive motion, postoperative outpatient rehabilitation, unsupervised in-home exercises, telerehabilitation, and various combinations of these. This comprehensive review analyzes the existing body of evidence on these perioperative interventions and examines some burgeoning opportunities in rehabilitation after total knee arthroplasty in the interest of improving patient outcomes and ensuring sustainable health care utilization for the future of total knee arthroplasty. [Orthopedics. 2017; 40(5):e765-e773.].

摘要

全膝关节置换术成功率很高。为了提高患者的治疗效果,人们对多种围手术期干预措施进行了研究,包括术前教育、术前康复、术后住院康复、持续被动运动、术后门诊康复、无监督的家庭锻炼、远程康复以及这些措施的各种组合。这篇综述分析了关于这些围手术期干预措施的现有证据,并探讨了全膝关节置换术后康复方面一些新兴的机会,旨在改善患者的治疗效果,并确保全膝关节置换术未来的可持续医疗利用。[《骨科》2017年;40(5):e765 - e773。]

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