Dehghan Niloofar, Mitchell Sean M, Schemitsch Emil H
Department of Orthopaedic Surgery, University of Arizona Phoenix; Banner University Medical Center Phoenix, Phoenix, Arizona USA; The CORE Institute, Phoenix, Arizona USA.
University of Arizona Phoenix; Banner University Medical Centre Phoenix, Phoenix, Arizona, USA.
Injury. 2018 Jun;49 Suppl 1:S72-S77. doi: 10.1016/S0020-1383(18)30308-5.
Post-operative rehabilitation and weight-bearing protocols are important to fracture fixation outcomes, yet there is a dearth in the literature concerning universal treatment guidelines following plate fixation of extremity fractures. There are controversies regarding time to allow weight-bearing and range of motion for most fractures of the upper and lower extremity. This lack of a consensus has led to varying practice guidelines and differing anecdotal protocols between treating surgeons. This review attempts to establish consensus guidelines for the post-operative rehabilitation required for patients following plate fixation of common upper and lower extremity fractures.
术后康复和负重方案对骨折固定效果很重要,但关于四肢骨折钢板固定后的通用治疗指南,文献中却很匮乏。对于大多数上肢和下肢骨折的负重时间和活动范围存在争议。这种缺乏共识的情况导致了治疗外科医生之间不同的实践指南和不同的经验性方案。本综述试图为常见上肢和下肢骨折钢板固定术后患者所需的术后康复建立共识指南。