PDF(Pubmed)
Abstract：
Individuals with severe cartilage degeneration of the hip or knee or collapsed vertebrae that cause spine deformities can suffer from joint and neuropathic pain in the back, disuse of the affected limb, and restriction of movements. Surgical intervention is the most widespread and successful solution to date. There is a general belief that eating healthy and staying physically and mentally active might have a preventive role against musculoskeletal disease occurrence, while instead, we are more certain of the benefits deriving from a healthy diet and exercise therapy after major orthopaedic procedures. These aspects are in fact vital components in enhanced recovery after surgery programmes. However, they are applied in hospital settings, are often centre-dependent, and lack primary and tertiary preventive efficacy since end once the patient is discharged. There is the lack of initiatives at the territorial level that ensure a continuum in the patient\'s journey towards orthopaedic surgery, home transition, and a healthy and long-lasting life. The expert panel advocates the integration of an intermediate lifestyle clinic that promotes healthy eating, physical activity, and sleep hygiene. In this facility directed by professionals in enhancing recovery after surgery, patients can be referred after the surgical indication and before home discharge. Surgery is in fact a moment when individuals are more curious to do their best to heal and stay healthy, representing a timepoint and opportunity for educating patients on how lifestyle changes may optimise not only their surgical recovery but also long-term future health state.
摘要：
髋关节或膝关节严重软骨退化或导致脊柱畸形的椎骨塌陷的人可能会遭受背部的关节和神经性疼痛，患肢的废弃，限制行动。手术干预是迄今为止最广泛和最成功的解决方案。人们普遍认为，健康饮食和保持身体和精神活跃可能对肌肉骨骼疾病的发生具有预防作用，而相反，我们更确定在进行大型骨科手术后，健康饮食和运动疗法会带来好处。实际上，这些方面是增强手术后恢复的重要组成部分。然而,它们适用于医院环境，通常是依赖中心的，自患者出院结束以来，缺乏一级和三级预防功效。在领土一级缺乏倡议，以确保患者的骨科手术之旅的连续性，家庭过渡,健康持久的生活.专家小组主张整合促进健康饮食的中间生活方式诊所，身体活动,和睡眠卫生。在这个由专业人员指导的促进手术后恢复的设施中，患者可以在手术指征后和家庭出院前转诊。手术实际上是个人更渴望尽力治愈和保持健康的时刻，代表了一个时间点和机会，教育患者生活方式的改变不仅可以优化他们的手术恢复，还可以优化未来的长期健康状况。
