摘要
目的:观察髌骨横行骨折经张力带加克氏针固定术后早期床旁一对一指导下的运动康复治疗对患者膝关节功能障碍的疗效。方法:选择髌骨横行骨折经张力带加克氏针固定术后患者35例,采用简单随机抽样的抽签法分为康复组18例和对照组17例。康复组在术后第1天进行康复宣教,再进行一对一指导运动康复治疗2周;对照组在术后第1天康复宣教后自行康复训练。2周后比较2组的膝关节活动度、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)。结果:与对照组比较,康复组的屈膝活动度更大(P<0.05);WOMAC指数分值在疼痛和关节功能分值上均较对照组低(P<0.05)。结论:髌骨横行骨折经张力带加克氏针固定术后早期床旁一对一指导下的运动康复治疗对膝关节功能恢复有显著的促进作用,显著提高患者术后早期的生活质量。
Objective：To evaluate the effect of one-to-one exercise therapy for transverse patellar fractures in early preriod of postoperation of tension band with kirschner wire fixation. Methods：Thirty-five consecutive patients with transverse patella fractures treated by tension band and kirschner wires were randomly assigned to rehabilitation group（n=18） or control group（n=17）. Rehabilitation group received 2-week early postoperative exercise therapy,while the control group received postoperative education. All subjects were evaluated after 2-week treatment. Evaluation of knee function included range of motion（ROM） and Western Ontario and Mc Master Universities Osteoarthritis Index（WOMAC）. Results ：Compared with control group,subjects with 2-week rehabilitation showed better knee flexion ROM and lower WOMAC pain and function scores（P〈0.05）. Conclusion：Positive exercise therapy in early postoperative period has good effect on knee joint function recovery and quality of life improvement for patients with transverse patella fractures.
出处
《康复学报》
2016年第1期6-9,共4页
Rehabilitation Medicine
基金
上海市重要薄弱学科项目(2015ZB0404)
关键词
髌骨横行骨折
张力带加克氏针
术后康复
transverse patellar fractures
tension band with kirschner
postoperative rehabilitation
