Application of Enhanced Recovery After Surgery(ERAS)in postoperative rehabilitation of patients with acute Achilles tendon rupture caused by military training
10.3969/j.issn.1009-0754.2024.06.002
- VernacularTitle:加速康复在军事训练所致急性跟腱断裂患者术后康复中的应用研究
- Author:
Qi GAO
1
;
Liyang LIU
;
Lei LI
;
Wei WANG
Author Information
1. 266071 山东青岛,海军青岛特勤疗养中心
- Keywords:
Enhanced Recovery After Surgery;
Achilles tendon rupture;
Military training injury
- From:
Journal of Navy Medicine
2024;45(6):561-564
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of Enhanced Recovery After Surgery(ERAS)on postoperative rehabilitation of patients with acute Achilles tendon rupture caused by military training.Methods Forty patients with acute closed Achilles tendon rupture caused by military training who received rehabilitation training after surgery at Qingdao Special Service Sanatorium Center of PLA Navy from February 2021 to November 2021 were enrolled in this study.They were randomly divided into two groups using a random number table method,with 20 patients in each group.Traditional rehabilitation and ERAS were given for the control group and observation group,respectively.Therapeutic effect and complications at 3 months after surgery,Achilles tendon complete rupture score(ATRS)and Achilles tendon repair(Leppilahti)score at 6 and 12 months after surgery,and the recovery of muscle strength at the last follow-up were compared between the two groups.Results The observation group had higher effective rate of postoperative rehabilitation and lower incidence of complications than the control group at 3 months after surgery(P<0.05).The ATRS and Leppilahti score in the observation group were higher than those in the control group at 6 and 12 months after surgery,and the ATRS and Leppilahti score in the two groups at 12 months after surgery were significantly higher than those at 6 months after surgery(P<0.05).The excellent and good rate of muscle strength recovery in the observation group was higher than that in the control group(95.0%vs.65.0%,P<0.05).Conclusion ERAS has a significant effect on postoperative rehabilitation of patients with acute Achilles tendon rupture caused by military training.It can effectively improve therapeutic effect,promote postoperative muscle strength recovery,and reduce the incidence of ankle complications.
