摘要
目的探讨胫骨平台骨折术后膝关节功能的康复治疗及应用意义。方法将2014年6月—2016年6月150例胫骨平台骨折术治疗患者根据数字表法分组。对照组采用常规的膝关节功能锻炼,个体化组则根据患者情况给予个体化康复治疗方案。比较两组髋关节功能康复效果;术后延迟愈合、骨不连等并发症发生率;干预前后患者疼痛评分、胫骨平台后倾角。结果个体化组髋关节功能康复效果96.00%,高于对照组77.33%,P<0.05。个体化组术后延迟愈合、骨不连等并发症发生率4.00%,低于对照组20.05%,P<0.05;干预前两组疼痛评分、胫骨平台后倾角相近,P>0.05;干预后个体化组疼痛评分、胫骨平台后倾角(1.25±0.14)分、(9.21±0.51)°优于对照组(3.14±0.14)分、(8.13±0.25)°,P<0.05。结论胫骨平台骨折术后膝关节功能的个体化康复治疗效果确切,可减少并发症发生,减轻疼痛,改善关节功能,增加活动幅度。
Objective To explore the rehabilitation treatment of knee joint function after tibial plateau fracture surgery and its application signifcance. Methods From June 2014 to June 2016, 150 cases of tibial plateau fractures were treated according to the digital table method. The control group received routine knee function exercise, and the individualized group received individualized rehabilitation treatment according to the patient＇s condition. The rehabilitation effect of hip joint function, the incidence of delayed union and nonunion were compared between the two groups; the pain score and the inclination angle of tibial plateau before and after the intervention were compared. Results The effect of hip joint function rehabilitation in the individualized group was 96%, which was higher than that of the control group 77.33%, P 〈 0.05. The incidence of complications such as delayed union and nonunion in the individualized group was 4%, which was lower than that of the control group 20.05%, P 〈 0.05; Before intervention, the pain scores of two groups were similar to that of tibial plateau, P 〉 0.05; After intervention, the pain score of the individual group, the posterior tilt angle of the tibial plateau （1.25±0.14）, and （9.21±0.51） degrees were better than those of the control group （3.14±0.14）, （8.13±0.25） degrees, P 〈 0.05. Conclusion The individualized rehabilitation treatment of knee joint function after tibial plateau fracture is effective, which can reduce complications, relieve pain, improve joint function, and increase the range of motion.
出处
《中国继续医学教育》
2017年第24期204-206,共3页
China Continuing Medical Education
关键词
胫骨平台骨折术
膝关节功能
康复治疗
并发症
tibial plateau fracture surgery
knee function
rehabilitation treatment
complications
