orthopedic common diseases
Conditions
Interventions
observation group1:We will implement the rehabilitation integrated mode and clinical pathway
observation grou2:We will implement the integrated rehabilitation mode, clinical pathway and classification scheme
Sponsors
the First Affiliated Hospital of General Hospital of PLA
Eligibility
Sex/Gender
All
Age
15 Years to 69 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria for lumbar degenerative diseases: 1. The first diagnosis must be the prolapsed lumbar intervertebral disc (ICD - 10: M51.0 write G99.2 * / M51.1 write G55.1 * / M51.2), degenerative lumbar spinal canal stenosis (ICD - 10: M48.03), degenerative lumbar instability (ICD - 10: M53.261), or lumbar spondylolisthesis (ICD - 10: M53.262). Diseases are dealt with single segment (L4 - 5 and L5 - S1) lumbar spinal canal decompression or discectomy, posterior pedicle internal fixation with screw or posterior lumbar interbody graft fusion (ICD - 9 - CM - 3:81.04 81.08); 2. Patients over 18 years old; 3. Voluntarily participating in and able to cooperate to complete this study; 4. Spinal canal decompression with internal fixation or bone graft fusion. Postoperative x-rays show that internal fixation is in a good fixed position; 5. Patients who are suffering from other diseases which do not affect the clinical pathway implementation process of the first diagnosis during hospitalization and do not need special treatments will be allowed. Inclusion criteria for surrounding joint fracture: 1. Fractures around the elbow: The first diagnosis must be the distal end of humerus fracture (ICD - 10: S42.40) or the ulnar olecranon fracture (ICD - 10: S52.001). Fractures around the knee joint: The first diagnosis must be the tibial plateau fracture (ICD - 10: S82.10), distal femoral fracture (ICD - 10: S72.4) or patellar fracture (ICD - 10: S82.001); 2. Patients are between 15 and 69 years old; 3. Voluntarily participating in and able to cooperate to complete this study; 4. Fracture reduction with internal fixation. Internal fixation is in a stable situation; 5. Patients who are suffering from other diseases which do not affect the clinical pathway implementation process of the first diagnosis during hospitalization and do not need special treatments will be allowed; 6. Orthopedists and therapists will agree to the patients entering the group through consultation if the patient suffers from other trauma which does not affect the key parts of the patients rehabilitation.
Exclusion criteria
Exclusion criteria: Exclusion criteria: Exclusion criteria for lumbar degenerative diseases: 1. Patients who are suffering from diseases such as extremity trauma, infection, tumor, congenital deformity in the lower limb and so on which will affect the functions in lower limb; 2. Patients who are suffering from serious early postoperative complications, which will affect functional exercise; 3. Accompanied by serious medical complications, such as cardiac dysfunction, pulmonary dysfunction, liver dysfunction or renal failure, etc.; 4. Patients with consciousness or cognitive impairment or severe mental illness, who cannot cooperate in rehabilitation; 5. Patients who are reluctant to participate in this study. Exclusion criteria for surrounding joint fracture: 1. Patients who are suffering from diseases such as upper or lower limb infection, tumor or congenital deformity and so on, which will affect the upper or lower limb functions; 2. Patients who are suffering from open fractures, accompanied by vascular impairment, neural impairment or severe soft tissue injury; 3. Accompanied by serious medical complications, such as cardiac dysfunction, pulmonary dysfunction, liver dysfunction or renal failure, etc.; 4. Patients with consciousness or cognitive impairment or severe mental illness, who cannot cooperate in rehabilitation; 5. Patients who are reluctant to participate in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Function evaluation; | — |
Countries
China
Contacts
Public ContactShuxun Hou
the First Affiliated Hospital of General Hospital of PLA
Outcome results
None listed