摘要
目的 总结股骨下端、胫骨上端近膝关节骨折患者手术后膝关节功能康复方法。方法 68例患者 ,74侧近膝关节骨折患者接受不同方式的手术治疗 ,随访 1 1～ 72个月 ,平均 2 8个月。结果 ( 1 )术后早期系统的康复治疗有利于膝关节功能恢复和减少术后并发症。因近膝关节骨折手术创伤大 ,膝关节屈伸锻炼最早在手术 3天后进行。 ( 2 )术后感染、皮肤坏死、肢体恢复功能训练的时间、关节退变和不稳是导致肢体功能不良的主要因素。 ( 3 )解剖钢板内固定、支架外固定术后肢体功能优良率分别为 68 6% ,90 9%。 结论 手术方法选择应注重减少关节周围组织结构破坏的外固定支架 。
Objective Evaluation the results of limb function and the rehabilitation procedures after operation for fractures around knee joint.Method 68 patients,74 cases suffered from fractures around knee joint were treated with different methods.The average period of follow-up is 28 months.Result Early rehabilitation may lead to better knee joint function.Skin necrosis,infection,the times for limbs restoration of functional training,the joints cataplasia and unsteadiness were the main complications which affect patient’s limb postoperative functions.External fixation brace was of recommended method of fracture reconstruction methods.Conclusion Early rehabilitation procedures should be emphasized after operation for bone fractures around knee joint,and early limb exercises may lead to better joint function.
出处
《中国骨肿瘤骨病》
2004年第5期288-293,共6页
Chinse Journal Of Bone Tumor And Bone Disease
