摘要
目的:探讨膝关节内骨折患者围手术期系统康复的临床疗效。方法:选择住院治疗的膝关节内骨折患者64例作为治疗组,其中股骨髁间骨折20例、胫骨平台骨折44例,于伤后7—10天实施骨折切开复位内固定手术治疗,患者入院后即开始围手术期系统康复治疗;随机选择门诊患者56例为对照组(术后自行锻炼者)。结果:治疗组:平均随访时间为6个月(3—10个月),康复疗程平均7.2±4.6周,膝关节平均屈曲115.9°±10.4°、伸直5°±6.1°,GEPI:3.1%±1.6%,HHS评分:87±17.6,全部恢复伤前工作,与对照组比较差异有显著性意义(P<0.001),无一例因术后早期康复而致骨折不愈合、内固定物松动的发生。结论:膝关节内骨折患者伤后实行围手术期、个性化、系统性康复治疗,能够促进骨折愈合、使伤肢功能障碍降低到最低程度。
Objective： To study the effect of early postoperative rehabilitation following keen intro-articular fractures with tailor procedure.Method： 64 inpatients of keen intro-articular fractures who were operated following 7-10 days after trauma were obtained. 44 of the cases had fracture of the tibial plateau. 20 of the cases had distal radius fracture. The rehabilitation process usually begun as early as possible after admission. Passive, active-assistod and active ROM exercises, daily strengthening and anti-resistance exercises were performed in different periods of postoperation. Other 76 outpatients were randomly selected as contrast, they did postoperative exercises themselves. Result：The average duration of follow-up was 6 months The overall length of rehabilitation was mean 7.2±4.6 weeks. Flexion of knee was mean 115.9±10.4°, extension 5±6.1°. Follow-up 6 month after surgery, motion and HSS score of knee were excellent compared with contrast. All of them returned to their former work. No complications such as osteoporosis, malunion and nonunion were observed. Conclusion： Early rehabilitation can facilitate restoration function and range of motion for the patients with keen intro-articular fractures. The rehabilitation protocol must be modified according to the patient＇s condition and the state of the tissues observed during surgery.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2006年第5期425-427,共3页
Chinese Journal of Rehabilitation Medicine
关键词
早期康复
关节内骨折
膝关节
切开复位内固定术
early rehabilitation
intro-articular fracture
keen
open reduction and internal fixation
