| 滕明星,刘元标.髌骨骨折髌骨爪内固定术后康复治疗的随机对照研究[J].浙江中西医结合杂志,2015,25(4): |
| 髌骨骨折髌骨爪内固定术后康复治疗的随机对照研究 |
| The effectiveness of distinctive rehabilitation interventions following internal fixation with patellar concentrator in patients following patellar fracture: a randomized control study |
| 投稿时间：2015-02-02 修订日期：2015-02-09 |
| DOI： |
| 中文关键词: 髌骨骨折 可分离式髌骨爪 早期康复 关节活动范围 关节功能 |
| 英文关键词:patellar fracture, detachable patellar concentrator, early rehabilitation intervention, range of motion, joint functionality |
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| 中文摘要: |
| 目的 探讨髌骨骨折经可分离式非记忆合金髌骨爪内固定治疗后早期综合康复治疗与传统康复治疗对关节功能影响的差异，为选择适宜的术后功能训练方法提供临床研究证据。
方法 选取于2010年1月至2013年9月期间在我院采用可分离式髌骨爪内固定治疗髌骨骨折得86例患者（45.3±10.5岁，男49例、女37例），随机分为早期康复治疗组43例（早期组）和传统康复治疗组43 例（传统组）。两组分别采用两种不同的康复治疗方案，比较两组患者术后三个月的膝关节功能评分（HSS）、膝关节关节活动度以及股四头肌萎缩情况。
结果 结果早期组与传统组HSS得分分别为92.9±12.2和77.2±10.1，有差异有统计学意义（P<0.05）；两组膝关节功能优良率分别为100%和90.7%（P<0.05）。关节活动范围>120°和>90°早期康复组分别有35人和7人，传统康复足分别有15人和24人，<90°者两组分别有1人和4人（P<0.01）。股四头肌萎缩程度超过25mm以上者两组分别为2人和16人，差异有统计学意义（P<0.05）。
结论 可分离式髌骨爪治疗髌骨骨折后早期采取积极的综合康复治疗措施有助于改善膝关节活动范围、减轻股四头肌肌肉萎缩程度，从而改善膝关节功能。 |
| 英文摘要: |
| Objective: To compare the effectiveness of acute rehabilitation intervention and traditional therapy on the patients with internal fixation following patellar fracture and provide evidence for optimal therapeutic exercise options. Methods: 86 subjects who admitted for internal fixation by detachable patellar concentrator between Jan/2010 and Sep/2013 and divided randomly into two groups: Acute Group (n=43) and Traditional Group (n=43). Two distinctive programs of post-operative intervention were implemented respectively and the functionality of knee joint was evaluated with HSS, range of motion (ROM) and the muscle atrophy of quadriceps femoris. Results: HSS scores were 92.9±12.2 and 77.2±10.1 for acute and traditional group respectively (P<0.05) and the percentage of patients with optimal outcome was 110% and 90.7% respectively (P<0.05). The number of patients with ROM greater than >120° and >90° in Acute group was 35 and 7, while there were 15 and 24 respectively in the Traditional group (P<0.01). The differences of circumference of thigh at surgery and 3 months after surgery were evaluated and numbers of the subjects with a difference of 25mm were 2 and 16 (P<0.05). Conclusion: Early intervention with comprehensive rehabilitation exercise was valuable to improve the outcome following internal fixation with detachable patellar concentrator for patients suffering patellar fracture. |
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