加速康复外科理念下跟骨关节内骨折诊疗规范专家共识  

Expert consensus on diagnosis and treatment of intra-articular calcaneal fracture based on enhanced recovery after surgery concept

作　　者：无 王金辉[7] 李庭[7] 孙志坚 杨明辉[7] 周雁[8] 王岩[7] 李莹[7] 黄强[7] 米萌[7] 肖鸿鹄 龚晓峰[7] 孙宁[7] 孙旭[7] 王京[7] 王倩[9] 彭贵凌[7] 翟建坡[10] 李旭[11] 赵霞[12] 东靖明[13] 周方[14] 施忠民[15] 徐海林[16] 李开南[17] 张晖[18] 庄岩[19] 张建政[20] 刘黎军[21] 高鹏[22] 吴新宝[7] 裴福兴[18] 余斌[23] 柴益民[15] 张堃[19] 武勇[7] 无;WANG Jinhui;LI Ting;SUN Zhijian;YANG Minghui;ZHOU Yan;WANG Yan;LI Ying;HUANG Qiang;MI Meng;XIAO Honghao;GONG Xiaofeng;SUN Ning;SUN Xu;WANG Jing;WANG Qian;PENG Guiling;ZHAI Jianpo;LI Xu;ZHAO Xia;DONG Jingming;ZHOU Fang;SHI Zhongmin;XU Hailin;LI Kainan;ZHANG Hui;ZHUANG Yan;ZHANG Jianzheng;LIULijun;GAOPeng;WUXinbao;PEIFuxing;YUBin;CHAIYimin;ZHANGKun;WUYong(Bethune·Alliance of Enhanced Recovery After Surgery in Orthopaedics;Orthopaedic Trauma Committee of Bethune Public Welfare Foundation;Joint Surgery Committee of Bethune Public Welfare Foundation;Orthopaedic Trauma Group of Branch of Enhanced Recovery After Surgery of China International Exchange and Promotive Association for Medical and Health Care;Orthopaedic Group of Enhanced Recovery After Surgery Committee of Chinese Research Hospital Association;Orthopaedics and Rehabilitation Technology Transformation Committee of Chinese Association of Rehabilitation Technology Transformation and Development;Department of Orthopaedic Trauma,Beijing Jishuitan Hospital,Beijing 100035;Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing 100035;Department of Endocrinology,Beijing Jishuitan Hospital,Beijing 100035;Department of Urology Surgery,Beijing Jishuitan Hospital,Beijing 100035;Department of Rehabilitation,Beijing Jishuitan Hospital,Beijing 100035;Department of Nutriology,Beijing Jishuitan Hospital,Beijing 100035;Department of Orthopaedics,Tianjin Hospital,Tianjin 300211;Department of Orthopaedics,Peking University Third Hospital,Beijing 100089;Department of Orthopaedics,The Sixth People's Hospital,Shanghai Jiao Tong University,Shanghai 200233;Department of Orthopaedic Trauma,Peking University People's Hospital,Beijing 100044;Department of Orthopaedics,The Affiliated Hospital of Chengdu University,Chengdu 610081;Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041;Department of Orthopaedic Trauma,Xi'an Honghui Hospital,Xi'an 710054;Department of Orthopaedics,The Seventh Medical Center of PLA,Beijing 100700;Department of Orthopae

机构地区：[1]白求恩·骨科加速康复联盟 [2]白求恩公益基金会创伤骨科专业委员会 [3]白求恩公益基金会关节外科专业委员会 [4]中国医疗保健国际交流促进会加速康复外科学分会创伤骨科学组 [5]中国研究型医院学会加速康复外科专业委员会骨外科学组 [6]中国康复技术转化及发展促进会骨外科学与康复技术转化委员会 [7]北京积水潭医院创伤骨科,北京100035 [8]北京积水潭医院麻醉科,北京100035 [9]北京积水潭医院内分泌科,北京100035 [10]北京积水潭医院泌尿外科,北京100035 [11]北京积水潭医院康复科,北京100035 [12]北京积水潭医院营养科,北京100035 [13]天津市天津医院骨科,天津300211 [14]北京大学第三医院骨科,北京100089 [15]上海交通大学附属第六人民医院骨科,上海200233 [16]北京大学人民医院创伤骨科,北京100044 [17]成都大学附属医院骨科,成都610081 [18]四川大学华西医院骨科,成都610041 [19]西安交通大学医学院附属红会医院创伤骨科,西安710054 [20]解放军总医院第七医学中心骨科,北京100700 [21]深圳市第二人民医院创伤骨科,广东深圳518035 [22]中国医学科学院北京协和医学院北京协和医院骨科,北京100730 [23]南方医科大学南方医院创伤骨科,广州510515

出　　处：《中华骨与关节外科杂志》2020年第2期97-108,共12页Chinese Journal of Bone and Joint Surgery

基　　金：首都卫生发展科研专项(首发2018-1-2072);北京市医院管理局临床医学发展专项(XMLX201809)。

摘　　要：跟骨骨折是最常见的后足骨折,通过国内外医师学者的长期研究,其在诊治方面有了长足的进步。近年来,加速康复外科(ERAS)理念的引入,更加规范了跟骨骨折围手术期的处理流程,有助于提高治疗效果,改善患者治疗体验。本共识以ERAS理念为指导,以循证医学证据为基础,经全国创伤骨科专家讨论形成。本共识从多模式镇痛、术前宣教、围手术期饮食管理、手术微创操作等ERAS涉及的多个方面进行推荐,为治疗此类骨折提供参考。Calcaneal fracture is one of the most common hindfoot fractures.After long-term study of national and internation?al researchers,significant improvement of diagnosis and treatment has been achieved.In recent years,as the introduction of en?hance recovery after surgery(ERAS),perioperative protocol of calcaneal fracture is more standardized,which helps to improve patients'clinical outcomes and experiences during treatment.This consensus was completed after discussions of experts in or?thopaedic trauma in China with the guidance of ERAS concept and based on evidence-based medicine.It involves many as?pects,including multi-model analgesia,preoperative education,perioperative fasting management and minimally invasive techniques,which can provide reference for medical staffs during treatment of calcaneal fracture.

关 键 词：加速康复外科 跟骨骨折 手术治疗 

分 类 号：R687.3[医药卫生—骨科学]