| 摘要: |
| ［摘要］ 目的 报道左侧踝关节Danis-Weber B型骨折的速滑运动员术后加速康复的案例。方法 速度滑冰运动员意外摔倒致左踝撞击后肿胀及活动障碍1 h入院，诊断Danis-Weber B型骨折并行择期手术。术后采用Barthel指数量表、美国矫形足踝协会发布的踝与后足功能评分问卷（AOFAS）以及选择性功能动作评估（SFMA）对踝关节功能和日常生活功能进行连续9周评估，同时根据不同评估阶段结果设计不同的康复治疗方法和体能训练方法。结果 经过9周康复治疗，运动员踝关节疼痛消失，屈伸活动度恢复正常，Barthel指数和AOFAS评估均接近满分，可以重新上冰训练。结论 Danis-Weber B型骨折术后的特定个体，根据康复目标实施针对性的阶段性评估与康复计划，可以加速基础康复进程。 |
| 关键词: 运动员 Danis-Weber B型骨折 加速康复 |
| DOI：10.3969/j.issn.1674-3806.2020.07.02 |
| 分类号:R 873.5 |
| 基金项目:国家体育总局社会体育中心科技服务课题（编号：2018-2020）；苏州市体育局体育科研局管课题（编号：TY2019-210） |
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| Accelerated rehabilitation of Danis-Weber B fracture after surgery: a case report of speed skating athlete |
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BAO Jie, XUE Rong, YU Tian-cheng, et al.
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School of Physical Education and Sport Science, Soochow University, Jiangsu 215021, China
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| Abstract: |
| ［Abstract］ Objective To report postoperative accelerated rehabilitation of a speed skater with Danis-Weber B fracture in her left ankle. Methods A speed skater was admitted to our hospital with swelling and mobility impairment 1 hour after she accidentally fell and hit her left ankle. Danis-Weber B fracture was diagnosed and elective surgery was performed. After the surgery, Barthel Index Scale, American Orthopedic Ankle Association Scoring System(AOFAS) and Selective Functional Movement Assessment(SFMA) were used to evaluate the ankle function and daily life function for 9 consecutive weeks. Meanwhile, different rehabilitation treatment methods and physical training methods were designed according to the results of different assessment stages. Results After 9 weeks of rehabilitation treatment, the ankle pain disappeared in the athlete and her the flexion and extension range of motion returned to normal; Barthel index and AOFAS evaluation were all close to the perfect scores, and the athlete could get back training on ice again. Conclusion A specific individual receiving the operation of Danis-Weber B fracture can speed up the basic rehabilitation process by implementing targeted phased evaluation and rehabilitation plan according to the rehabilitation goal. |
| Key words: Athlete Danis-Weber B fracture Accelerated Rehabilitation |
