| 不同屈膝角度的马步桩在髌骨骨折术后康复训练中的病例对照研究 |
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Received:December 17, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赵勇 |
ZHAO Yong |
烟台市烟台山医院, 山东 烟台 264008 |
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| 刘显东 |
LIU Xian-dong |
四川省骨科医院, 四川 成都 610041 |
Orthopaedics Hospital of Sichuan Province, Chengdu 610041, Sichuan, China |
liuxiandong@163.com |
| 王小兵 |
WANG Xiao-bing |
四川省骨科医院, 四川 成都 610041 |
Orthopaedics Hospital of Sichuan Province, Chengdu 610041, Sichuan, China |
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| 徐强 |
XU Qiang |
四川省骨科医院, 四川 成都 610041 |
Orthopaedics Hospital of Sichuan Province, Chengdu 610041, Sichuan, China |
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| 郑金文 |
ZHENG Jin-wen |
四川省骨科医院, 四川 成都 610041 |
Orthopaedics Hospital of Sichuan Province, Chengdu 610041, Sichuan, China |
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| 唐承杰 |
TANG Cheng-jie |
四川省骨科医院, 四川 成都 610041 |
Orthopaedics Hospital of Sichuan Province, Chengdu 610041, Sichuan, China |
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| 陈星宇 |
CHEN Xing-yu |
四川省骨科医院, 四川 成都 610041 |
Orthopaedics Hospital of Sichuan Province, Chengdu 610041, Sichuan, China |
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| 期刊信息：《中国骨伤》2015年28卷，第4期，第327-329页 |
| DOI：10.3969/j.issn.1003-0034.2015.04.008 |
| 基金项目:国家自然科学基金(编号:81301553);山东省优秀中青年科学家科研奖励基金(编号:BS2013SF015) |
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目的:观察不同屈膝角度的马步桩在髌骨骨折内固定术后康复中的疗效,并为传统体育疗法的精细化和现代化提供依据。
方法:自2009年1月至2012年6月,收治90例横行髌骨骨折患者,其中男52例,女38例,年龄21～77岁,平均50.0岁。均采用传统的切开复位克氏针钢丝张力带固定术治疗,门诊复查骨折临床愈合后,分为3组进行康复训练:A组,男21例,女14例,采用屈膝60°站桩训练;B组,男21例,女14例,采用屈膝30°站桩训练;C组,男10例,女10例,采用平路行走训练。康复训练为期1个月。以X线片对骨折愈合情况进行评估。于训练前后对各组病例进行Böstman髌骨骨折功能评分和比较。
结果:随访时间6个月,所有患者达到骨性愈合,平均愈合时间3个月(2～4个月).Böstman功能评分:训练前A组18.89±2.19,B组18.74±2.03,C组18.85±2.92,差异无统计学意义(P>0.05);训练后A组与B组、A组与C组间差异均有统计学意义(P<0.01),其中A组评分29.40±1.14最高,B组26.09±3.86与C组25.70±4.09差异无统计学意义(P>0.05).
结论:马步桩运用于髌骨骨折术后的中期康复训练是安全、可靠、有显着疗效的;相比平路行走训练和屈膝30°站桩训练,屈膝60°马步桩的疗效更优。 |
| [关键词]:髌骨 骨折 康复 病例对照研究 |
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| Case control study on postoperative rehabilitation of patellar fracture by modified seated position of different knee flexion angles |
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Abstract:
Objective:To explore the clinical results of postoperative rehabilitation of patellar fracture by modified seated position of different knee flexion angles, thereby enrich the therapeutic tool of orthopaedics of traditional Chinese and western medicine and provide the evidences for refinement and modernization of traditional Chinese exercise therapy.
Methods:From January 2009 to June 2012, 90 patients with patellar transverse fractures were treated with open reduction and internal fixation by tension band wire and rehabilitation exercises. There were 52 males and 38 females, aged from 21 to 77 years old with an average of 50.0 years old. Three methods of rehabilitation exercises were adopted in the patients after fractures clinical union. There were 21 males and 14 females in group A (trained by modified seated position of knee flexion about 60 degree), 21 males and 14 females in group B (trained by modified seated position of knee flexion about 30 degree), 10 males and 10 females in group C (trained by walk). The rehabilitation-training time was 1 month. Fracture healing informations were observed by X-ray films. The Böstman patellar fracture function scores were compared before and after training among three groups.
Results:Postoperative follow-up time was 6 months. All fractures obtained bone union and the average healing time was 3 months (ranged, 2 to 4 months). Böstman patellar fracture function scores in group A, B, C before training were 18.89±2.19, 18.74±2.03, 18.85±2.92, respectively;there was no significant differences in among three groups (P>0.05). After training, Böstman patellar fracture function scores in group A, B, C were 29.40±1.14, 26.09±3.86, 25.70±4.09, respectively;group A was highest than other two groups;and there was no significant differences between group A and group B.
Conclusion:Modified seated position of knee flexion about 60 degree was practical and effective training in postoperative rehabilitation for the treatment of patellar fracture, it can obtain the better clinical results than other training method such as walk or modified seated position of knee flexion about 30 degree. |
| KEYWORDS:Patellar Fractures Rehabilitation Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵勇,刘显东,王小兵,徐强,郑金文,唐承杰,陈星宇.不同屈膝角度的马步桩在髌骨骨折术后康复训练中的病例对照研究[J].中国骨伤,2015,28(4):327~329 |
| 英文格式: | ZHAO Yong,LIU Xian-dong,WANG Xiao-bing,XU Qiang,ZHENG Jin-wen,TANG Cheng-jie,CHEN Xing-yu.Case control study on postoperative rehabilitation of patellar fracture by modified seated position of different knee flexion angles[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(4):327~329 |
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