全关节镜下距腓前韧带修复技术治疗慢性踝关节外侧不稳定加速康复外科方案江苏专家共识  

Jiangsu expert consensus of all-inside anatomical repair of anterior talofibular ligament for chronic lateral ankle instability based on enhanced recovery after surgery program

作　　者：江苏省医学会骨科学分会 江苏省医学会物理医学与康复医学分会 江苏省康复医学会 徐州市医学会骨科学分会 冯仕明[2] 翟宏伟[3] 周敬杰 张秋阳 王凯 蒋逸秋[7] 顾加祥[8] 芮云峰[9] 田建 丁文鸽[12] 孙克富 陈伟[3] 赵建宁 刘璠[15] 郝跃峰[16] 桂鉴超[7] 王青[17] 糜菁熠 徐炜[19] 许光旭[18,20] 马超 Jiangsu Province Orthopaedic Association;Jiangsu Society of Physical Medicine and Rehabilitation;Jiangsu Association of Rehabilita-tion Medicine;Xuzhou Orthopaedic Association;FENG Shiming;ZHAI Hongwei;ZHOU Jingjie;ZHANG Qiuyang;WANG Kai;JIANG Yiqiu;GU Jiaxiang;RUI Yunfeng;TIAN Jian;DING Wenge;SUN Kefu;CHEN Wei;ZHAO Jianning;LIU Fan;HAO Yuefeng;GUI Jianchao;WANG Qing;MI Jingyi;XUWei;XU Guangxu;MA Chao(不详;Department of Orthopaedics,Xuzhou Central Hospital,Xuzhou 221009;Department of Rehabilitation,Xuzhou Central Hospital,Xuzhou 221009;Department of Re-habilitation Treatment,Xuzhou Rehabilitation Hospital,Xuzhou 221010;Department of Bone and Joint Rehabili-tation,Xuzhou Rehabilitation Hospital,Xuzhou 221010;De-partment of Anesthesiology,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009;Department of Sports Medicine and Joint Surgery,Nanjing First Hospital,Nanjing Medical University,Nanjing 210012;Department of Orthopae-dics,Subei People's Hospital of Jiangsu Province,Yangzhou 225001;Department of Orthopaedics,Zhongda Hospital,Southeast University,Nanjing 210009;Department of Ortho-paedics,Wuxi Nineth Peo-ple's Hospital,Soochow University,Wuxi 214062;Department of Sports Medicine,Wuxi Nineth Peo-ple's Hospital,Soochow University,Wuxi 214062;Depart-ment of Orthopaedics,Changzhou First Hospital,Changzhou 213001;Department of Orthopaedics,The Second People's Hospital of Lianyungang,Lianyungang 222006;Department of Orthopaedics,General Hospital of Eastern Theater Command,PLA,Nanjing 210002;Department of Orthopaedics,The Affiliated Hospital of Nantong University,Nantong 226001;Orthopae-dics and Sports Medicine Center,Suzhou Municipal Hospital,Suzhou 215008;Department of Orthopaedics,Jiangsu Province Hospital,Nanjing 210029;Department of Reha-bilitation,Jiangsu Province Hospital,Nanjing 210029;Department of Orthopaedics,The Second Affiliated Hospital of Soochow Uni-versity,Suzhou 215004;School of Rehabilitation Medicine,Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]不详 [2]徐州市中心医院骨科,徐州221009 [3]徐州市中心医院康复医学科,徐州221009 [4]徐州市康复医院康复治疗部,徐州221010 [5]徐州市康复医院骨关节康复科,徐州221010 [6]徐州医科大学徐州临床学院麻醉科,徐州221009 [7]南京医科大学南京医院南京市第一医院运动关节科,南京210012 [8]江苏省苏北人民医院骨科,扬州225001 [9]东南大学附属中大医院骨科,南京210009 [10]苏州大学附属无锡九院骨科,无锡214062 [11]苏州大学附属无锡九院运动医学科,无锡214062 [12]常州市第一人民医院骨科,常州213001 [13]连云港市第二人民医院骨科,连云港222006 [14]中国人民解放军东部战区总医院骨科,南京210002 [15]南通大学附属医院骨科,南通226001 [16]苏州市立医院骨科与运动医学中心,苏州215008 [17]江苏省人民医院骨科,南京210029 [18]江苏省人民医院康复医学科,南京210029 [19]苏州大学附属第二医院骨科,苏州215004 [20]南京医科大学康复医学院,南京210029

出　　处：《中华骨与关节外科杂志》2022年第1期1-9,共9页Chinese Journal of Bone and Joint Surgery

基　　金：江苏省六大人才高峰高层次人才项目(2019-WSW-173);江苏省卫生高层次“六个一工程”拔尖人才项目(LGY2020028);徐州市卫健委科技重点项目(XWKYHT20200043)。

摘　　要：慢性踝关节不稳定是运动医学中常见的损伤之一。全关节镜下距腓前韧带修复术已成为治疗慢性踝关节外侧不稳定的常用术式。通过将加速康复外科(ERAS)理念应用到手术中,能够优化围手术期处理,降低围手术期并发症,提高手术治疗效果。为了规范ERAS临床路径在全关节镜下距腓前韧带修复手术治疗慢性踝关节外侧不稳定中的应用,通过总结前期临床实践经验,结合目前的文献证据,经江苏省专家组反复讨论,达成本专家共识,供全国足踝外科相关医务人员参考实施。Chronic lateral ankle instability is the most frequent sports injury. All-inside anatomical repair of anterior talofibular ligament is the most common procedure. The enhanced recovery after surgery(ERAS) program helps to optimize perioperative protocol of the all-inside anatomical repair of anterior talofibular ligament, minimize perioperative complications, and improve surgical outcomes.This expert consensus was completed after an in-depth discussion of the associated experts in Jiangsu province based on the previous clinical outcomes, combined with the current evidence-based literatures, and under the guidance of the ERAS. This expert consensus could be used as a reference for the relevant of foot and ankle surgery in China.

关 键 词：全关节镜下距腓前韧带修复术 慢性踝关节外侧不稳定 加速康复外科 专家共识 

分 类 号：R648[医药卫生—外科学]