《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (11): 1005-1007.

• 论文 • 上一篇    下一篇

膝关节周围不同部位骨折致膝关节僵直特点分析及早期康复疗效

崔志刚1，2，刘四海1，2，薛祖军1，2，韩新祚1，2，冯建璞1，2，刘克敏1，2   

  1. 1.首都医科大学康复医学院骨外科学系，北京市 100068；2.中国康复研究中心北京博爱医院骨科，北京市 100068
  • 收稿日期:2010-10-13 修回日期:1900-01-01 出版日期:2010-11-25 发布日期:2010-11-25
  • 通讯作者: 刘克敏

Characteristics and Early Rehabilitation of Knee Stiffness post Different Fractures

CUI Zhi-gang, LIU Si-hai, XUE Zu-jun, et al   

  1. Department of Orthopedics and Rehabilitation, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2010-10-13 Revised:1900-01-01 Published:2010-11-25 Online:2010-11-25

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摘要： 目的分析股骨远端（DF）、胫骨近端(TP)和髌骨骨折(PF)致膝关节僵直(KS)的特点及康复疗效。方法回顾性分析DF、TP和PF后膝关节僵直患者70例。结果康复前各组膝关节被动活动度比较：F=1.671，P=0.196；经8周康复治疗后膝关节活动度改善比较:F=19.264，P=0.000。组间LSD法比较：DF组 vs TP组、DF组 vs PF组均P=0.000， TP组 vs PF组P=0.114。结论康复治疗膝关节僵直的疗效受原始骨折部位的影响，股骨远端骨折康复效果较差。

关键词: 关节周围骨折, 膝关节僵直, 股骨, 胫骨, 髌骨, 康复

Abstract: ObjectiveTo investigate the characteristics of knee stiffness and the results of rehabilitation after the fractures of distal femur （DF）, tibial plateau （TP） or patella （PF）. Methods70 cases with knee stiffness after DF, TP or PF were analyzed retrospectively. ResultsNo significant difference was observed in passive range of motion (PROM) among three groups (F=1.671，P=0.196) before rehabilitation. The differences were significantly different (F=19.264, P=0.000) 8 weeks after rehabilitation. Further LSD analysis revealed that there was significant difference between DF and TP (P=0.000) as well as DF and PF (P=0.000), but no significant difference was observed between TP and PF (P=0.114). ConclusionThe outcome of rehabilitation is associated with the locations of fracture, and the distal femoral fractures is the worst.

Key words: periarticular fracture, knee stiffness, femur, tibia, patella, rehabilitation