胫骨平台骨折内固定术后功能康复
杨康骅;戴闽;
摘要(Abstract):
<正>胫骨平台骨折是临床上较为常见的膝关节内骨折,常伴内外侧副韧带、半月板、交叉韧带损伤,发病率、致残率较高,通常需要手术治疗,但单纯手术治疗胫骨平台骨折疗效并不满意。胫骨平台骨折术后并发症多,常见并发症包括感染、复位丢失、畸形愈合、关节强直、创伤性关节炎等,术后早期积极正确的功能锻炼可有效预防及治疗
关键词(KeyWords): 胫骨平台骨折;康复
基金项目(Foundation): 江西省卫生厅重大招标项目(编号:20074005)
作者(Author): 杨康骅;戴闽;
Email:
DOI:
参考文献(References):
- [1]周谋望.临床康复医学[M].北京:北京大学医学出版社,2006:226-232.
- [2]Rice D,McNair PJ,Dalbeth N.Effects of cryotherapy on arthrogenicmuscle inhibition using an experimental model of knee swelling[J].Arthritis Rheum,2009,1:78-83.
- [3]Callaghan MJ,Oldham JA.Quadriceps atrophy:to what extent doesit exist in patellofemoral pain syndrome[J].Br J Sports Med,2004,3:295-299.
- [4]谢祖宏,吕亮,胡汉敏,等.胫骨平台骨折后需早期康复锻炼但不宜过早负重锻炼[J].中国临床康复,2002,6:238.
- [5]崔新刚,高元国.胫骨平台骨折术后的综合康复[J].中华物理医学与康复杂志,2004,26:686-687.
- [6]闫汝蕴,覃鼎文,韩宝昕,等.膝关节内骨折围手术期的系统康复[J].中国康复医学杂志,2006,21:425-427.
- [7]Vermeire J,Scheerlinck T.Early primary total knee replacement forcomplex proximal tibia fractures in elderly and osteoarthritic patients[J].Acta Orthop Belg,2010,6:785-793.
- [8]容国威.骨折[M].北京:人民卫生出版社,2004:1041.
- [9]覃鼎文,闫汝蕴.胫骨平台骨折切开复位内固定术后的早期康复[J].中国康复医学杂志,2006,21:458-459.
- [10]Lenssen TA,van Steyn MJ,Crijns YH,et al.Effectiveness of pro-longed use of continuous passive motion(CPM),as an adjunct tophysiotherapy,after total knee arthroplasty[J].BMC MusculoskeletDisord,2008,9:60.
- [11]刘平,黄勇.CPM在胫骨平台骨折康复治疗中的应用[J].现代康复,2000,4:260.
- [12]王熠平,彭新生,黄东锋,等.膝关节周围骨折术后治疗与康复的临床体会[J]。中国临床康复,2004,8:3928.
- [13]Marti RK,Kerkhoffs GM,Rademakers MV.Correction of lateral tibi-al plateau depression and valgus malunion of the proximal tibia[J].Oper Orthop Traumatol,2007,1:101-113.
- [14]Zhang P,Malacinski GM,Yokota H.Joint loading modality:its ap-plication to bone formation and fracture healing[J].Br J SportsMed,2008,7:556-560.
- [15]Wang SQ,Gao YS,Wang JQ,et al.Surgical approach for high-en-ergy posterior tibial plateau fractures[J].Indian J Orthop,2011,2:125-131.
- [16]戴闽.骨科运动康复[M].北京:人民卫生出版社,2008:20-21.