| 摘要: |
| 目的探讨胫骨平台骨折术后持续被动运动(Continuous Passive Motion,CPM)对膝关节功能恢复的影响。方法将60例符合条件的胫骨平台骨折术后患者按随机数字表法随机分为治疗组和对照组,每组30例。两组均给予常规关节活动度和肌肉力量康复训练;治疗组在此基础上给予"早期、无痛、持续"的CPM功能训练。分别于术后2周、6周评价患者膝关节肿胀情况;术后2周、6周、6月、12月评价患者膝关节活动度;术后12月按照Rasmussen评分标准评价膝关节功能,按照膝关节骨关节炎诊断标准统计创伤性骨关节炎发生率,并采用WOMAC骨关节炎指数评价严重程度。结果在术后2周、6周,治疗组肿胀程度均明显小于对照组,两组差异有统计学意义(P<0.05)。在术后2周和6周,治疗组患者膝关节活动度分别为(84.2±6.3)°和(101.3±6.8)°,均优于对照组,差异有统计学意义(P<0.01);术后6月和12月,治疗组患者膝关节活动度分别为(125.5±7.9)°和(133.7±6.0)°,与对照组之间的差异无统计学意义(P>0.05)。在术后12月,治疗组患者Rasmussen膝关节功能评分为(27.5±1.8)分、创伤性骨关节炎发生率为13.3%、WOMAC骨关节炎指数为(67.8±15.5)分,与对照组之间的差异无统计学意义(P>0.05)。结论胫骨平台骨折术后"早期、无痛、持续"的CPM功能训练能快速减轻肢体的肿胀,早期恢复膝关节活动度,促进患者术后快速康复。 |
| 关键词: 持续被动运动 胫骨平台骨折 功能锻炼 |
| DOI： |
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| Rehabilitation Efficacy of Postoperative Continuous Passive Motion of Tibial Plateau Fracture |
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Zheng Jinwen;Liu Xiandong;Chen Xingyu
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The Orthopaedic Hospital of Sichuan Province
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| Abstract: |
| Objective To discuss the influence of postoperative Continuous Passive Motion( CPM) of tibial plateau fracture on recovery of knee joint function.Methods 60 cases of eligible patients with tibial plateau fracture were randomly divided into treatment group and control group according to random number table method and there were 30 cases in each group. Both groups were given conventional rehabilitation training of joint range of motion and muscle strength; Treatment group was given " early,painless and continuous" CPM functional training on the basis of that.Knee joint swelling condition pf patients were evaluated in postoperative 2 weeks and 6 weeks; Knee joint range of motion pf patients were evaluated in postoperative 2 weeks,6 weeks,6 months and 12 months; Knee joint function was evaluated according to Rasmussen criteria,traumatic osteoarthritis incidence was counted according to the diagnostic criteria of knee joint osteoarthritis and severity was evaluated by WOMACosteoarthritis index in postoperative 12 months.Results The swelling degree of the treatment group in postoperative 2 weeks and 6 weeks were significantly less than the control group and the differences between two groups were statistically significant( P < 0. 05). The knee joint range of motion of treatment group in postoperative 2 weeks and 6 weeks were[( 84. 2 ± 6. 3)o]and[( 101. 3±6. 8)o]respectively which were superior to control group and the differences were statistically significant( P<0. 01); The knee joint range of motion of treatment group in postoperative 6 months and 12 months were[( 125. 5±7. 9)o]and[( 133. 7±6. 0)o]and the differences between the control group were no statistical significance( P>0. 05).In treatment group in postoperative 12 months,Rasmussen score of knee joint function was( 27. 5 ± 1. 8),the incidence of traumatic osteoarthritis was 13. 3%,WOMAC osteoarthritis index was( 67. 8 ±15. 5) and the differences between the control group were no statistical significance( P> 0. 05). Conclusion Postoperative"early,painless and continuous"CPM function training of patients with tibial plateau fracture can quickly relieve swelling of the limbs,early recover range of motion and promote the patients rapid rehabilitation. |
| Key words: continuouspassivemotion tibialplateaufracture functionaltraining |
