快速康复理念在冰雪运动所致急性跟腱撕裂中的应用

The enhanced recovery after surgery-guided rehabilitation for cases of ice and snow sports-caused acute Achilles tendon tear

跟腱撕裂(ATR)是常见的冰雪运动伤之一,其术后恢复期长、康复困难程度高。为明确快速康复(ERAS)理念指导下的康复方案对冰雪运动所致急性ATR的疗效与预后,采用前瞻性随访研究的方法,将冰雪运动所致的急性ATR患者作为对象,通过术后0.5、1年的随访发现,急性ATR者术后采用ERAS康复方案的恢复时间短、可显著促进跟腱及踝关节功能的恢复、降低疼痛,患者术后0.5年的功能恢复程度理想,术后1年可恢复至伤前的功能水平。

Achilles tendon rupture(ATR)can be commonly seen in ice and snow sports-caused injuries,which would take a long period to recovery in the post-operation,and always cause difficulty in the rehabilitation.In order to investigate the efficacy and the outcome of the enhanced recovery after the surgery(ERAS)concept-guided rehabilitation for acute ATR patients,a prospective follow-up study is designed,and the patients with ice and snow sports-caused ATR are included.The 0.5 and 1 year’s follow-up shows that ATR patients with ERAS enjoy a fast recovery speed,with a superior function of the Achilles tendon and the ankle,with a reduced pain.A satisfactory functional recovery is found a half year after the operation,with the return to the pre injury functional level one year after the operation.