中国慢性踝关节外侧不稳定术后康复专家共识

2019-10-30 中华医学会骨科学分会 《中华骨与关节外科杂志》.2019.12(10):747-753.

踝关节扭伤是常见的运动损伤,部分踝关节扭伤患者会发展到慢性踝关节外侧不稳定阶段,往往需要手术治疗。通过引入加速康复外科理念,对术后康复方案进行全面优化,可以进一步提高患者疗效。为了规范慢性踝关节外侧不稳定术后康复,以循证医学证据为依据,经过全国专家组反复讨论,编制本专家共识,供全国骨科医师、康复医师和治疗师、护理人员等在临床工作中参考应用。本共识主要内容包括:患者宣教、软组织肿胀处理、疼痛管理、支

中文标题:

中国慢性踝关节外侧不稳定术后康复专家共识

发布日期:

2019-10-30

简要介绍:

踝关节扭伤是常见的运动损伤,部分踝关节扭伤患者会发展到慢性踝关节外侧不稳定阶段,往往需要手术治疗。通过引入加速康复外科理念,对术后康复方案进行全面优化,可以进一步提高患者疗效。为了规范慢性踝关节外侧不稳定术后康复,以循证医学证据为依据,经过全国专家组反复讨论,编制本专家共识,供全国骨科医师、康复医师和治疗师、护理人员等在临床工作中参考应用。本共识主要内容包括:患者宣教、软组织肿胀处理、疼痛管理、支具保护和负重训练、肌力训练、本体感觉和平衡觉训练、关节活动度训练、关节松动训练、基本功能恢复训练和运动专项训练、出院随访管理。

 

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评论区 (5)
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  1. [GetPortalCommentsPageByObjectIdResponse(id=964765, encodeId=2f54964e6545, content=学习了,谢谢,很有帮助, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/821e220e56e4403c9d344f61e0a0cf65/db27683e37a44e2ca9ef965d8fb94082.jpg, createdBy=77e52816541, createdName=lbq729, createdTime=Wed May 12 00:21:43 CST 2021, time=2021-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=951463, encodeId=4576951463d7, content=很有帮助 给力, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bb8d1929775, createdName=1e0c8637m36(暂无匿称), createdTime=Fri Mar 26 20:42:36 CST 2021, time=2021-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=886819, encodeId=1d2f88681929, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d305170863, createdName=146d7a4am19暂无昵称, createdTime=Sun Sep 20 11:13:58 CST 2020, time=2020-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806949, encodeId=eea2806949b3, content=学习,分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRqmnwwP0IZtBy0VryVT8gMMm1jO22jvqt2Xs4LDJR8j1KJIjfNWQaxQc8Ha3l07yNnXOkbQcO9dM/0, createdBy=2b572011268, createdName=杨群, createdTime=Sat Aug 08 16:54:59 CST 2020, time=2020-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376489, encodeId=11ac3e648984, content=学习了,谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Wed Dec 04 08:30:44 CST 2019, time=2019-12-04, status=1, ipAttribution=)]
    2021-05-12 lbq729

    学习了,谢谢,很有帮助

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=964765, encodeId=2f54964e6545, content=学习了,谢谢,很有帮助, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/821e220e56e4403c9d344f61e0a0cf65/db27683e37a44e2ca9ef965d8fb94082.jpg, createdBy=77e52816541, createdName=lbq729, createdTime=Wed May 12 00:21:43 CST 2021, time=2021-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=951463, encodeId=4576951463d7, content=很有帮助 给力, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bb8d1929775, createdName=1e0c8637m36(暂无匿称), createdTime=Fri Mar 26 20:42:36 CST 2021, time=2021-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=886819, encodeId=1d2f88681929, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d305170863, createdName=146d7a4am19暂无昵称, createdTime=Sun Sep 20 11:13:58 CST 2020, time=2020-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806949, encodeId=eea2806949b3, content=学习,分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRqmnwwP0IZtBy0VryVT8gMMm1jO22jvqt2Xs4LDJR8j1KJIjfNWQaxQc8Ha3l07yNnXOkbQcO9dM/0, createdBy=2b572011268, createdName=杨群, createdTime=Sat Aug 08 16:54:59 CST 2020, time=2020-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376489, encodeId=11ac3e648984, content=学习了,谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Wed Dec 04 08:30:44 CST 2019, time=2019-12-04, status=1, ipAttribution=)]
    2021-03-26 1e0c8637m36(暂无匿称)

    很有帮助 给力

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=964765, encodeId=2f54964e6545, content=学习了,谢谢,很有帮助, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/821e220e56e4403c9d344f61e0a0cf65/db27683e37a44e2ca9ef965d8fb94082.jpg, createdBy=77e52816541, createdName=lbq729, createdTime=Wed May 12 00:21:43 CST 2021, time=2021-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=951463, encodeId=4576951463d7, content=很有帮助 给力, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bb8d1929775, createdName=1e0c8637m36(暂无匿称), createdTime=Fri Mar 26 20:42:36 CST 2021, time=2021-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=886819, encodeId=1d2f88681929, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d305170863, createdName=146d7a4am19暂无昵称, createdTime=Sun Sep 20 11:13:58 CST 2020, time=2020-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806949, encodeId=eea2806949b3, content=学习,分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRqmnwwP0IZtBy0VryVT8gMMm1jO22jvqt2Xs4LDJR8j1KJIjfNWQaxQc8Ha3l07yNnXOkbQcO9dM/0, createdBy=2b572011268, createdName=杨群, createdTime=Sat Aug 08 16:54:59 CST 2020, time=2020-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376489, encodeId=11ac3e648984, content=学习了,谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Wed Dec 04 08:30:44 CST 2019, time=2019-12-04, status=1, ipAttribution=)]
    2020-09-20 146d7a4am19暂无昵称

    非常实用

    0

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    2020-08-08 杨群

    学习,分享

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=964765, encodeId=2f54964e6545, content=学习了,谢谢,很有帮助, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/821e220e56e4403c9d344f61e0a0cf65/db27683e37a44e2ca9ef965d8fb94082.jpg, createdBy=77e52816541, createdName=lbq729, createdTime=Wed May 12 00:21:43 CST 2021, time=2021-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=951463, encodeId=4576951463d7, content=很有帮助 给力, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bb8d1929775, createdName=1e0c8637m36(暂无匿称), createdTime=Fri Mar 26 20:42:36 CST 2021, time=2021-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=886819, encodeId=1d2f88681929, content=非常实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d305170863, createdName=146d7a4am19暂无昵称, createdTime=Sun Sep 20 11:13:58 CST 2020, time=2020-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806949, encodeId=eea2806949b3, content=学习,分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRqmnwwP0IZtBy0VryVT8gMMm1jO22jvqt2Xs4LDJR8j1KJIjfNWQaxQc8Ha3l07yNnXOkbQcO9dM/0, createdBy=2b572011268, createdName=杨群, createdTime=Sat Aug 08 16:54:59 CST 2020, time=2020-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376489, encodeId=11ac3e648984, content=学习了,谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Wed Dec 04 08:30:44 CST 2019, time=2019-12-04, status=1, ipAttribution=)]
    2019-12-04 14794e5bm67(暂无昵称)

    学习了,谢谢分享

    0