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加拿大武装部队的关节置换。

Joint replacements in the Canadian Armed Forces.

机构信息

Department of Surgery, Division of Orthopaedic Surgery, McGill University, Montreal, Que. and Chief of Orthopaedic Surgery, Canadian Armed Forces.

出版信息

Can J Surg. 2020 Sep-Oct;63(5):E409-E411. doi: 10.1503/cjs.016419.

DOI:10.1503/cjs.016419
PMID:33009895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7608715/
Abstract

There is currently no consensus on the appropriate sports and occupational restrictions for military service members with a joint replacement. Data from the United States show that 14% of military patients complete an operational deployment after the index surgery. No published data are available on arthroplasty in the militaries of other North Atlantic Treaty Organization countries. Research is needed to determine the appropriate medical employment limitations for Canadian Armed Forces members with a knee or hip replacement. Service members wanting to continue military service should be carefully screened to ensure that their duties do not compromise the longevity of the implant and that the risk of mission-threatening complications is minimal.

摘要

目前,对于接受过关节置换手术的军人,在运动和职业方面应如何限制,尚无共识。来自美国的数据显示,有 14%的军人在接受手术治疗后,完成了一次作战部署。关于其他北约国家军队中的关节置换手术,目前尚无相关出版物。需要开展研究,确定膝关节或髋关节置换术后的加拿大武装部队军人的适当医疗就业限制。希望继续服兵役的军人应接受仔细筛查,以确保他们的职责不会影响植入物的使用寿命,并且发生危及任务的并发症的风险最小。

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本文引用的文献

1
Long-term outcomes of total hip arthroplasty in patients younger than 55 years: a systematic review of the contemporary literature.55 岁以下患者全髋关节置换术的长期疗效:当代文献的系统评价。
Can J Surg. 2019 Aug 1;62(4):249-258. doi: 10.1503/cjs.013118.
2
Quality-Adjusted Life Years After Hip and Knee Arthroplasty: Health-Related Quality of Life After 12,782 Joint Replacements.髋关节和膝关节置换术后的质量调整生命年:12782例关节置换术后的健康相关生活质量
JB JS Open Access. 2018 Aug 15;3(3):e0007. doi: 10.2106/JBJS.OA.18.00007. eCollection 2018 Sep 25.
3
Return to Sporting Activity After Total Hip Arthroplasty-A Survey of Members of the British Hip Society.全髋关节置换术后恢复体育活动——英国髋关节协会成员调查
J Arthroplasty. 2017 Mar;32(3):898-902. doi: 10.1016/j.arth.2016.09.019. Epub 2016 Sep 28.
4
The FORCE Fitness Profile--Adding a Measure of Health-Related Fitness to the Canadian Armed Forces Operational Fitness Evaluation.FORCE体能评估概况——为加拿大武装部队作战体能评估增添与健康相关的体能衡量指标。
J Strength Cond Res. 2015 Nov;29 Suppl 11:S192-8. doi: 10.1519/JSC.0000000000001163.
5
Incidence of joint replacement among active component service members, U.S. Armed Forces, 2004-2014.2004 - 2014年美国武装部队现役军人关节置换的发病率
MSMR. 2015 May;22(5):2-8.
6
Return to Work and Functional Outcomes Following Primary Total Knee Arthroplasty in U.S. Military Servicemembers.美国军人初次全膝关节置换术后的重返工作及功能结局
J Arthroplasty. 2015 Jun;30(6):968-72. doi: 10.1016/j.arth.2015.01.044. Epub 2015 Jan 31.
7
A NATO guide for assessing deployability for military personnel with chronic medical conditions: medical fitness for expeditionary missions, Task Group 174, Human Factors, and Medicine Panel.北约评估患有慢性疾病军事人员部署能力指南:远征任务的医学适宜性,第174任务组,人为因素与医学小组
Mil Med. 2014 Dec;179(12):1404-11. doi: 10.7205/MILMED-D-14-00113.
8
Athletic activity after lower limb arthroplasty: a systematic review of current evidence.下肢关节置换术后的体育活动:当前证据的系统评价。
Bone Joint J. 2014 Jul;96-B(7):923-7. doi: 10.1302/0301-620X.96B7.31585.
9
Danish surgeons allow the most athletic activities after total hip and knee replacement.丹麦外科医生允许在全髋关节和膝关节置换术后进行最多的体育活动。
Eur J Orthop Surg Traumatol. 2014 Dec;24(8):1571-7. doi: 10.1007/s00590-014-1442-z. Epub 2014 Mar 25.
10
Return to duty and deployment after major joint arthroplasty.大关节置换术后的返岗与部署。
J Arthroplasty. 2013 Sep;28(8):1270-3. doi: 10.1016/j.arth.2013.02.028. Epub 2013 Jul 3.