Marsland Daniel, Morris Anna M, Gould Anthony E R, Calder James D F, Amis Andrew A
Department of Mechanical Engineering, Imperial College London, United Kingdom; Department of Trauma & Orthopaedics, Hampshire Hospitals NHS Foundation Trust, United Kingdom.
Gloucestershire Hospitals NHS Foundation Trust, United Kingdom.
Foot Ankle Surg. 2022 Feb;28(2):166-175. doi: 10.1016/j.fas.2021.03.011. Epub 2021 Mar 19.
To compare the outcomes of early and standard rehabilitation protocols following tendon transfers in the foot and ankle using interference screw fixation (ISF).
A systematic review was performed for relevant articles (1998 to 2020) reporting foot tendon transfer using ISF in adults. The primary outcome was early tendon failure. Secondary outcomes included function and complications.
In total, 21 studies met the inclusion criteria, totalling 494 patients. Seven studies reported early rehabilitation protocols. The rate of early tendon failure was zero for each protocol and studies consistently reported a significant improvement in function. No differences were found comparing different rehabilitation protocols for tendon transfer for Achilles tendon pathology and foot drop.
Both early and standard rehabilitation protocols are associated with high patient satisfaction and low complication rates, but currently there is a lack of evidence to support early loaded activities or motion.
IV Systematic review including case series.
比较在足踝部肌腱转位手术中使用挤压螺钉固定（ISF）后早期康复方案与标准康复方案的效果。
对1998年至2020年期间报道成人足肌腱转位使用ISF的相关文章进行系统评价。主要结局是早期肌腱失效。次要结局包括功能和并发症。
共有21项研究符合纳入标准，总计494例患者。7项研究报告了早期康复方案。每个方案的早期肌腱失效率均为零，且研究一致报告功能有显著改善。在比较针对跟腱病变和足下垂的肌腱转位不同康复方案时未发现差异。
早期和标准康复方案均与患者高满意度和低并发症发生率相关，但目前缺乏证据支持早期负重活动或运动。
IV 包括病例系列的系统评价。
