中国老年膝关节骨关节炎诊疗及智能矫形康复专家共识

doi:10.3969/j.issn.1005-6483.2019.12.029

临床外科杂志 ›› 2019, Vol. 27 ›› Issue (12): 1105-1110.doi: 10.3969/j.issn.1005-6483.2019.12.029

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中国老年膝关节骨关节炎诊疗及智能矫形康复专家共识

430022 华中科技大学同济医学院附属协和医院骨科

出版日期:2019-12-20 发布日期:2019-12-20
通讯作者: 刘国辉，Email：Liuguohui@medmail.com.cn
基金资助:
国家科技部重点研发计划（No.2018YFC2001500，2018YFC2001502）；国家卫计委重大疾病科技行动防治计划（No.ZX-01-018， ZX-01-C2016153）；国家自然科学基金（No.81772345）

Expert Consensus on Treatment and Rehabilitation Strategy of Knee Osteoarthritis in the Chinese Elderly

Department of Orthopaedics，Union Hospital，Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430022，China

Online:2019-12-20 Published:2019-12-20

摘要/Abstract

摘要： 老年人群是退行性骨关节疾病的主要受害群体，其中，以膝关节骨关节炎（Knee Osteoarthritis，KOA）最常见，临床上表现为不同程度的膝关节疼痛、关节活动受限及关节畸形，严重影响患者的生活质量。临床上老年膝关节OA患者的治疗目标和治疗选择及康复策略都有其特殊性。因此，本共识在膝关节ＯＡ的发病机制和流行病学的基础上，结合国内外最新的循证医学证据和临床经验，对老年膝关节OA的临床诊疗以及康复策略抉择，特别是利用矫形器进行智能康复矫治等方面进行阐述，旨在为老年膝关节OA的处理提供一套适合我国国情，且简便易行的诊断、矫治和康复方案，以期改善患者预后，提高患者生活质量。

关键词: 老年, 膝关节骨关节炎, 个性化智能矫形器：康复治疗

Abstract: The elderly are the main suffer population of degenerative diseases of bone and joint，and knee osteoarthritis is the most common degenerative diseases.The clinical manifestations of knee osteoarthritis are different levels of knee pain，limited knee movement and joint deformity，which seriously affect the life quality of patients.In clinic，the treatment goal，methods and rehabilitation strategies of the elderly patients with knee osteoarthritis are different from normal.Therefore，this consensus is based on the pathogenesis and epidemiology of knee osteoarthritis，combined with the latest evidence-based medicine and clinical experience，and aim to elaborate the clinical treatment and rehabilitation strategies，especially the use of personalized intelligent orthoses for rehabilitation，of knee osteoarthritis in the elderly.We are devoted to improve the prognosis and life quality of elderly patients through popularizing this consensus of experts.

Key words: elderly patient, knee osteoarthritis, personalized intelligent orthosis, rehabilitation

中国医师协会急救复苏专业委员会创伤骨科与多发伤学组, 中国医药教育学会骨质疾病专业委员会修复重建学组, 中国老年学和老年医学学会老年病分会骨科专家委员会, 中华医学会骨科学分会青年骨质疏松学组. 中国老年膝关节骨关节炎诊疗及智能矫形康复专家共识[J]. 临床外科杂志, 2019, 27(12): 1105-1110.

Multitrauma and Orthopedic Trauma Group of Department of Chinese Medical Doctor Association, Reparative and Reconstructive Group of Bone Diseases Professional Committee of China Medicine Education Association, Orthopedic Expert Committee of Geriatrics Branch of Chinese Society of Gerontology and Geriatrics, Youth Chinese Orthopedic Association Osteoporosis Group of Chinese Medical Association. Expert Consensus on Treatment and Rehabilitation Strategy of Knee Osteoarthritis in the Chinese Elderly[J]. JOURNAL OF CLINICAL SURGERY, 2019, 27(12): 1105-1110.

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中国老年膝关节骨关节炎诊疗及智能矫形康复专家共识

Expert Consensus on Treatment and Rehabilitation Strategy of Knee Osteoarthritis in the Chinese Elderly

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