全髋关节置换术后的康复阶段、注意事项及活动目标
Rehabilitation Phases, Precautions, and Mobility Goals Following Total Hip Arthroplasty.
作者信息
Sara Lauren K, Lewis Cara L
机构信息
Department of Physical Therapy, Boston University, Boston, MA, USA.
出版信息
HSS J. 2023 Nov;19(4):494-500. doi: 10.1177/15563316231192980. Epub 2023 Aug 15.
The prevalence of total hip arthroplasty (THA) for advanced hip osteoarthritis (OA) is both increasing and shifting toward a younger average age. However, THA alone does not typically normalize function in these patients. Postoperative rehabilitation is often recommended to optimize joint motion, strength, and function. To date, there are no peer-reviewed clinical practice guidelines for postoperative rehabilitation following THA. Thus, optimal postoperative rehabilitation requires consideration of the existing literature and clinical expertise. This review article summarizes current recommendations for postoperative management of THA, including phases of rehabilitation, postoperative hip precautions, the effect of rehabilitation setting and mode of delivery on postoperative outcomes, and gait mechanics.
对于晚期髋骨关节炎（OA），全髋关节置换术（THA）的普及率正在上升，且患者的平均年龄正趋于年轻化。然而，单纯的THA通常无法使这些患者的功能恢复正常。术后康复通常被推荐用于优化关节活动度、力量和功能。迄今为止，尚无经过同行评审的THA术后康复临床实践指南。因此，最佳的术后康复需要综合考虑现有文献和临床专业知识。这篇综述文章总结了THA术后管理的当前建议，包括康复阶段、术后髋关节注意事项、康复环境和实施方式对术后结果的影响以及步态力学。
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