摘要
目的 :探讨非骨水泥固定型全髋关节置换术后早期负重训练的可行性及疗效。方法 :57例 (65髋 )非骨水泥固定型全髋关节置换术患者随机分为 2组 ,术后即时负重组 (实验组 ) 2 8例 (3 2髋 ) ,术后第 1天即下地完全负重行走 ,并进行系统的功能锻炼 ;传统组 2 9例 (3 3髋 ) ,按传统术后第 3周开始部分负重 ,至术后 6周完全负重。2组于术后 3月和术后 2年分别进行临床和X线评价。结果 :术后 3个月实验组Harris评分与传统组比较差异有显著性 (P <0 .0 1) ,而术后 2年 2组在临床效果和X线评价方面差异无显著性。结论
Objective:To study the possibility and eff ec t of immediate full weightbearing exercise after uncemented total hip arthroplas ty. Methods: From 1998 to 2000, 57 patients (65 hips) of two groups undergoing uncem ented primary total hip arthroplasty were examined in a prospective controlled s tudy. At the end of surgery, the patients were allocated randomly to either earl y or late weight bearing groups. The experimental group consisted of 28 patients (32 hips) receiving immediate full weightbearing as tolerated on both lower ext remities the day 1 after surgery. The control group consisted of 29 patients (33 hips) who were instructed to use 2 crutches with a load of < 10 % of body w eight at 3rd week postoperatively. Patients in both groups were matched for age, gender, and weight. The clinical and radiographic results were compared 12 week s after surgery, and again at 2 years after surgery. Results: There was no signi ficant difference in the results 2 years after surgery between two groups. As ex pected, however, there was a difference 12 weeks after surgery between 2 groups in clinical results. Conclusion: Immediate full weightbearing exercise after unc emented total hip arthroplasty did not is secure and effective.
出处
《中国康复》
2003年第5期281-283,共3页
Chinese Journal of Rehabilitation
关键词
全髋关节置换术
负重
康复
total hip arthroplasty
weightbearing
reha bilitation
