早期CPM锻炼对髌骨粉碎性骨折术后膝关节功能的影响(1)
【摘要】 目的：探讨早期CPM机锻炼对髌骨粉碎性骨折术后膝关节功能的影响及安全性分析。方法：回顾性分析2012年5月-2014年12月本院行手术治疗单侧髌骨粉碎性骨折患者60例，随机分为两组，每组各30例。对照组采用支具固定及主动功能锻炼，试验组在对照组功能锻炼的基础上进行早期CPM机被动锻炼，观察术后第1天、1周、1月及3月的视觉模拟评分法(VAS)评分及膝关节损伤和骨关节炎评分(KOOS评分)。结果：两组均获得临床完整随访，经过治疗后，两组的VAS评分比较差异无统计学意义(P=0.051)；早期(术后第1天和1周)试验组VAS评分高于对照组，两组比较差异有统计学意义(P<0.05)；术后1月和3月两组间的VAS评分比较差异无统计学意义(P>0.05)。两组的术后KOOS评分比较，差异有统计学意义(P=0.012)；试验组KOOS评分除第1天外均明显高于对照组，差异均有统计学意义(P<0.05)。结论：早期CPM锻炼可以改善髌骨粉碎性骨折术后膝关节功能，值得临床推广
【关键词】 CPM； 髌骨粉碎性骨折； 膝关节功能
, 百拇医药
The Knee Function of Early Continuous Passive Motion Exercise after Operation of Comminuted Fracture in Patella/JIANG Tao，LYU Zheng-xiang，YANG Jian-ping，et al.//Medical Innovation of China，2015，12(30)：023-025
【Abstract】 Objective： To investigate the knee function and safety of early continuous passive motion exercise after operation of comminuted fracture in patella.Method：60 patients with comminuted fracture in patella were retrospectively analyzed from May 2012 to December 2014，they were randomly divided into two groups， 30 cases in each group. The control group was given brace immobilization and initiative functional exercise， while the experimental group was treated with early continuous passive motion exercise on the basis of control group. The postoperative VAS score and KOOS score of two groups were recorded in the first day，the first week，the first month and the third month.Result： All patients got followed-up，there was no significant difference on VAS score after operation of two groups(P=0.051). After operation，the VAS score in the first day and the first week of experimental group were higher than that in the control group， the differences were statistically significant(P<0.05)，but no differences in the first and third month of two groups(P>0.05).After operation，there was significant difference on KOOS score of two groups(P=0.012)；the KOOS score in the first week ， first and third month of experimental group were higher than that of the control group， the differences were statistically significant(P<0.05)， but no differences on first day of two groups.Conclusion： The early continuous passive motion exercise after operation of comminuted fracture in patella maybe prefer and can improve the prognosis significantly.
, http://www.100md.com
【Key words】 Continuous passive motion； Comminuted fracture in patella； Knee function
First-author’s address：Traditional Chinese Medical Hospital of Changzhou，Changzhou 213003，China
doi：10.3969/j.issn.1674-4985.2015.30.008
髌骨作为人体最大的籽骨，具有很好的膝关节屈伸杠杆支点作用[1]。由于其位于膝部最前方，缺少有效的软组织保护，往往因为外力的作用而出现骨折。随着我国老龄化社会的演变，骨质疏松现象较为广泛，更增加了髌骨骨折发生的风险，往往出现严重的髌骨粉碎性骨折[2]。髌骨骨折经历了传统保守治疗到手术治疗的过程，随着人们对膝部解剖及力学知识的深入了解，手术治疗也被广大临床医师所接收，取得了很好的临床疗效，也带来了术后因长时间支具固定导致的膝关节功能不佳问题[3-5]。骨折术后的功能锻炼问题一直没有得到临床医师的重视和解决，如何使术后膝关节功能恢复最佳成为当前的一个重要命题[6]。本研究通过回顾性分析2012年5月-2014年12月本院收治行手术治疗单侧髌骨粉碎性骨折患者60例，通过观察术后膝关节视觉模拟评分法(Visual Analogue Scale/Score，VAS)和膝关节损伤和骨关节炎评分(the Knee Injury and Osteoarthritis Outcome Score，KOOS)，初步证实了早期CPM(Continuous passive motion，持续被动运动)锻炼对于改善髌骨粉碎性骨折术后膝关节功能的作用，现汇报如下。, 百拇医药(蒋涛 吕正祥 杨建平 林铭)
【关键词】 CPM； 髌骨粉碎性骨折； 膝关节功能
, 百拇医药
The Knee Function of Early Continuous Passive Motion Exercise after Operation of Comminuted Fracture in Patella/JIANG Tao，LYU Zheng-xiang，YANG Jian-ping，et al.//Medical Innovation of China，2015，12(30)：023-025
【Abstract】 Objective： To investigate the knee function and safety of early continuous passive motion exercise after operation of comminuted fracture in patella.Method：60 patients with comminuted fracture in patella were retrospectively analyzed from May 2012 to December 2014，they were randomly divided into two groups， 30 cases in each group. The control group was given brace immobilization and initiative functional exercise， while the experimental group was treated with early continuous passive motion exercise on the basis of control group. The postoperative VAS score and KOOS score of two groups were recorded in the first day，the first week，the first month and the third month.Result： All patients got followed-up，there was no significant difference on VAS score after operation of two groups(P=0.051). After operation，the VAS score in the first day and the first week of experimental group were higher than that in the control group， the differences were statistically significant(P<0.05)，but no differences in the first and third month of two groups(P>0.05).After operation，there was significant difference on KOOS score of two groups(P=0.012)；the KOOS score in the first week ， first and third month of experimental group were higher than that of the control group， the differences were statistically significant(P<0.05)， but no differences on first day of two groups.Conclusion： The early continuous passive motion exercise after operation of comminuted fracture in patella maybe prefer and can improve the prognosis significantly.
, http://www.100md.com
【Key words】 Continuous passive motion； Comminuted fracture in patella； Knee function
First-author’s address：Traditional Chinese Medical Hospital of Changzhou，Changzhou 213003，China
doi：10.3969/j.issn.1674-4985.2015.30.008
髌骨作为人体最大的籽骨，具有很好的膝关节屈伸杠杆支点作用[1]。由于其位于膝部最前方，缺少有效的软组织保护，往往因为外力的作用而出现骨折。随着我国老龄化社会的演变，骨质疏松现象较为广泛，更增加了髌骨骨折发生的风险，往往出现严重的髌骨粉碎性骨折[2]。髌骨骨折经历了传统保守治疗到手术治疗的过程，随着人们对膝部解剖及力学知识的深入了解，手术治疗也被广大临床医师所接收，取得了很好的临床疗效，也带来了术后因长时间支具固定导致的膝关节功能不佳问题[3-5]。骨折术后的功能锻炼问题一直没有得到临床医师的重视和解决，如何使术后膝关节功能恢复最佳成为当前的一个重要命题[6]。本研究通过回顾性分析2012年5月-2014年12月本院收治行手术治疗单侧髌骨粉碎性骨折患者60例，通过观察术后膝关节视觉模拟评分法(Visual Analogue Scale/Score，VAS)和膝关节损伤和骨关节炎评分(the Knee Injury and Osteoarthritis Outcome Score，KOOS)，初步证实了早期CPM(Continuous passive motion，持续被动运动)锻炼对于改善髌骨粉碎性骨折术后膝关节功能的作用，现汇报如下。, 百拇医药(蒋涛 吕正祥 杨建平 林铭)