股骨髋臼撞击综合征关节镜治疗的术后康复:当代综述。

IF 2.9 2区 医学 Q1 ORTHOPEDICS Current Reviews in Musculoskeletal Medicine Pub Date : 2023-09-01 DOI:10.1007/s12178-023-09850-2
Stefan Hanish, Maaz Muhammed, Shayne Kelly, Steven DeFroda
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引用次数: 0

摘要

回顾目的:股髋臼撞击综合征(FAIS)是髋关节疼痛的常见原因,可能导致骨关节炎。FAIS的手术治疗旨在关节镜下重塑异常的髋关节形态并修复髋关节唇。对于手术后的康复,一致建议患者采用结构化的物理治疗方案,使其恢复到以前的身体活动水平。然而,尽管有这种一致的建议,但目前关于术后物理治疗方案的建议存在显著的异质性。最近的发现:在目前的文献中,四阶段的术后物理治疗方案受到青睐,每个阶段都包括自己的目标、限制、预防措施和康复技术。第一阶段的目的是保护手术修复组织的完整性,减轻疼痛和炎症,并恢复~ 80%的完全ROM。第二阶段指导平稳过渡到完全负重,因此患者可能恢复功能独立性。第三阶段帮助患者无娱乐性症状,恢复肌肉力量和耐力。最后,第四阶段的高潮是无痛苦地恢复竞技体育或娱乐活动。目前,还没有统一的、一致同意的术后物理治疗方案。在目前的建议中,在四个阶段的具体时间表、限制、预防措施、练习和技术方面存在差异。当务之急是减少目前建议的模糊性,更具体地定义FAIS手术治疗后的术后物理治疗,以更快地使患者恢复功能独立和身体活动。
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Postoperative Rehabilitation for Arthroscopic Management of Femoroacetabular Impingement Syndrome: a Contemporary Review.

Purpose of review: Femoroacetabular impingement syndrome (FAIS) is a common cause of hip pain that may potentially lead to osteoarthritis. Operative management of FAIS seeks to arthroscopically reshape the abnormal hip morphology and repair the labrum. For rehabilitation following operative management, a structured physical therapy program is unanimously recommended for the patient to return to their previous level of physical activity. Yet, despite this unanimous recommendation, significant heterogeneity exists among the current recommendations for postoperative physical therapy programs.

Recent findings: A four-phase postoperative physical therapy protocol is favored among current literature, with each phase being comprised of its own goals, restrictions, precautions, and rehabilitation techniques. Phase 1 aims to protect the integrity of the surgically repaired tissues, reduce pain and inflammation, and regain ~ 80% of full ROM. Phase 2 guides a smooth transition to full weightbearing, so the patient may regain functional independence. Phase 3 helps the patient become recreationally asymptomatic and restores muscular strength and endurance. Finally, phase 4 culminates in the pain-free return to competitive sports or recreational activity. At this time, there exists no single, unanimously agreed upon postoperative physical therapy protocol. Among the current recommendations, variation exists regarding specific timelines, restrictions, precautions, exercises, and techniques throughout the four phases. It is imperative to reduce ambiguity in current recommendations and more specifically define postoperative physical therapy following operative management of FAIS to more expeditiously return patients to functional independence and physical activity.

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来源期刊
CiteScore
7.50
自引率
2.40%
发文量
64
期刊介绍: This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
期刊最新文献
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