踝部骨折--内固定术后踝部早期活动与延迟活动的比较  

Ankle fractures-- Early versus delayed motion following internal fixation （update to July 2006 issue）

作　　者：Dan C Norvell 王簕(译)[2] 杨云峰(译)[3] 

机构地区：[1]From AO Publishing, Switzerland Clavadelerstrasse, CH-7270 Davos Platz [2]南方医科大学南方医院创伤骨科 [3]上海同济大学同济医院骨科

出　　处：《中华创伤骨科杂志》2009年第5期473-479,共7页Chinese Journal of Orthopaedic Trauma

摘　　要：四项小样本随机或半随机对照试验的证据显示：①与延迟至术后12周活动踝部相比，早期活动有利于踝部功能的恢复，但仅有一项研究提示二者存在统计学差异。②术后早期活动踝部的患者可以更早地返回工作岗位。③在早期活动踝部的患者中，感染更常见，但是与延迟活动的患者相比，前者发生静脉血栓的几率更低。Summary Evidence from four small randomized or quasi -randomized controlled trials suggests that： Early motion tended to improve functional status compared with delayed motion by 12 weeks, but the results reached statistical significance in only one study. Patients receiving early motion returned to work earlier than those whose motion was delayed. Infection rates were significantly more common among those who had early motion, however these groups had a slightly decreased risk of venous thrombolitic events compared with patients receiving delayed motion.

关 键 词：术后早期活动 踝部骨折 内固定术后 半随机对照试验 统计学差异 工作岗位 静脉血栓 小样本 

分 类 号：R686[医药卫生—骨科学]