摘要
目的评价早期康复护理加微创经皮钢板内固定(minimally invasive percutaneous plate osteosynthesis,MIPPO)技术对治疗胫骨平台骨折患者术后膝关节功能恢复的疗效。方法对2009年2月—2011年12月收治的50例胫骨平台骨折患者运用MIPPO技术治疗的患者,进行术前心理指导、术前康复指导、术后康复护理等早期康复训练。结果 50例患者均得到随访,随访时间为6—12个月,术后12个月时采用美国特种外科(HSS)膝关节功能评估系统评估患者的膝关节功能,优良率为94%,无伤口感染和皮肤坏死病例。结论 MIPPO技术治疗胫骨平台骨折是治疗胫骨平台骨折可靠有效的治疗方法,配合优质的早期康复护理方法,有利于患者术后膝关节功能的恢复。
[Objective]To evaluate the curative effect of early rehabilitation training combined with minimally invasive percutaneous plate osteosynthesis（MIPPO） on postoperative recovery of knee joint function in patients with tibial plateau fracture.[Methods]50 tibial plateau fracture patients who were treated with MIPPO technique from February 2009 to December 2011 received the early rehabilitation training,which included the preoperative mental guidance,preoperative rehabilitation guidance,and postoperative rehabilitation nursing.[Results]All of 50 patients received the follow-up for 6-12 months.After 12 months of operation,the knee function of patients was assessed by the Hospital for special surgery knee score（HSS）,and the excellent rate was 94%.There was no case of wound infection and cutaneous necrosis.[Conclusion]MIPPO technique is a reliable and effective treatment method for tibial plateau fracture,and it combined with early rehabilitation nursing is beneficial to postoperative recovery of knee joint function.
出处
《职业与健康》
CAS
2013年第10期1278-1280,共3页
Occupation and Health
关键词
微创钢板内固定
胫骨平台骨折
康复护理
Minimally invasive plate osteosynthesis
Tibial plateau fracture
Rehabilitation nursing
