【作者】
王金辉;
李庭;
孙志坚;
杨明辉;
周雁;
王岩;
李莹;
黄强;
米萌;
肖鸿鹄;
龚晓峰;
孙宁;
孙旭;
王京;
王倩;
彭贵凌;
翟建坡;
李旭;
赵霞;
东靖明;
周方;
施忠民;
徐海林;
李开南;
张晖;
庄岩;
张建政;
刘黎军;
高鹏;
吴新宝;
裴福兴;
余斌;
柴益民;
张堃;
武勇;
【Author】
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;LIU Lijun;GAO Peng;WU Xinbao;PEI Fuxing;YU Bin;CHAI Yimin;ZHANG Kun;WU Yong;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;Department of Anesthesiology, Beijing Jishuitan Hospital;Department of Endocrinology, Beijing Jishuitan Hospital;Department of Urology Surgery, Beijing Jishuitan Hospital;Department of Rehabilitation, Beijing Jishuitan Hospital;Department of Nutriology, Beijing Jishuitan Hospital;Department of Orthopaedics, Tianjin Hospital;Department of Orthopaedics, Peking University Third Hospital;Department of Orthopaedics, The Sixth People’s Hospital, Shanghai Jiao Tong University;Department of Orthopaedic Trauma, Peking University People’s Hospital;Department of Orthopaedics,The Affiliated Hospital of Chengdu University;Department of Orthopaedics, West China Hospital, Sichuan University;Department of Orthopaedic Trauma, Xi’an Honghui Hospital;Department of Orthopaedics, The Seventh Medical Center of PLA;Department of Orthopaedic Trauma, The Second People’s Hospital of Shenzhen;Department of Orthopaedics, Peking Union Medical College Hospital, CAMS & PUMC;Department of Orthopaedic Trauma, Nanfang Hospital, Southern Medical University;
【通讯作者】
吴新宝;裴福兴;余斌;柴益民;张堃;武勇;
【机构】
白求恩·骨科加速康复联盟;
白求恩公益基金会创伤骨科专业委员会;
白求恩公益基金会关节外科专业委员会;
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;
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;
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;
北京积水潭医院创伤骨科;
北京积水潭医院麻醉科;
北京积水潭医院内分泌科;
北京积水潭医院泌尿外科;
北京积水潭医院康复科;
北京积水潭医院营养科;
天津市天津医院骨科;
北京大学第三医院骨科;
上海交通大学附属第六人民医院骨科;
北京大学人民医院创伤骨科;
成都大学附属医院骨科;
四川大学华西医院骨科;
西安交通大学医学院附属红会医院创伤骨科;
解放军总医院第七医学中心骨科;
深圳市第二人民医院创伤骨科;
中国医学科学院 北京协和医学院 北京协和医院骨科;
南方医科大学南方医院创伤骨科;
【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。更多还原
【Abstract】 Calcaneal fracture is one of the most common hindfoot fractures. After long-term study of national and international researchers, significant improvement of diagnosis and treatment has been achieved. In recent years, as the introduction of enhance 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 orthopaedic trauma in China with the guidance of ERAS concept and based on evidence-based medicine. It involves many aspects, 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.更多还原
【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)