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编号:12302282
膝关节周围骨折术后早期运动康复的临床疗效观察(1)
http://www.100md.com 2012年6月1日 曹盛生 罗彤 秦育宏 徐文华 李俊宁 李刚 傅宇
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     【摘要】 目的 膝关节周围骨折切开复位内固定术后早期运动康复与传统治疗的疗效比较。方法 对本院自2006年1月~2009年1月176例膝关节周围骨折病例,随机分为早期康复治疗组和传统治疗对照组:每组各有股骨髁上和/或髁部骨折38例和34例;胫骨平台骨折45例和37例;髌骨骨折12例和10例。术后六个月随访并对患者行Lysholm膝关节评分和膝关节活动范围(Range of motion,ROM)测量。结果 两组患者Lysholm膝关节评分和膝关节活动范围(ROM)有差异有显著性意(P<0.01);股骨髁上和/或髁部骨折和胫骨平台骨折治疗组和对照组的Lysholm膝关节评分和膝关节活动范围(ROM)差异亦有显著性意义(P<0.01),髌骨骨折治疗组和对照组的Lysholm膝关节评分差异无显著性意义(P>0.05) 而膝关节活动范围(ROM)差异有显著性意义(P<0.01)。结论 术前康复教育及早期系统康复治疗是膝关节周围骨折术后康复的有效方法。

    【关键词】膝关节周围骨折; 康复训练

    Clinical curative effect observation of early exercise rehabilitation on the postoperative with fractures around the knee

    Cao shengsheng,Luo tong,Qing yuhong,Xu wenhua,Li junning,Li gang,Fu yu

    Department of orthopedics,Yichun people’s hospital,Yichun,336000,China

    Abstract:Objective To compare the effect between the early exercise and rehabilitation and conventional treatments by open reduction and internal fixation after fractures around the knee. Methods 176 patients with fractures around the knee were enrolled from our hospital from January 2006 to January 2009,which were allocated randomizedly to the early rehabilitation group and the conventional treatments group. In each group, the cases of supracondylar fracture of femur and (or) condylar fracture, tibia plateau fractures and patella fracture were 38 and 34, 45and 37, 12 and 10 respectively. The knee joint score and range of motion were measured in the end of six months after the surgery. Results There were significant differences in Lysholm knee joint score and range of motion between two groups(P<0.01).The Lysholm knee joint score and range of motion had significant difference between two groups of supracondylar fracture of femur and (or) condylar fracture and tibia plateau fractures(P<0 ......

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