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股骨远端骨折术后早期CPM康复治疗对膝关节功能的影响 被引量:9

Early continous passive motion with accelerated recovery of knee joint function after operation of distal femur fracture
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摘要 目的 观察股骨远端骨折术后早期行CPM康复治疗对膝关节功能恢复的影响 ,探索行膝关节康复治疗的实用而有效的方法。方法 股骨远端骨折均采用切开复位的股骨远端解剖钢板内固定 ,CPM组病例术后 2 4h内开始行膝关节CPM康复 ,维持 10~ 14d ,而后指导患者进行膝关节伸屈锻炼 ,于术后 10d和 6周对膝关节的功能进行评估 ,将结果与非CPM组进行比较。结果 CPM组膝关节功能的恢复显著优于非CPM组。结论 股骨远端骨折内固定术后早期进行膝关节CPM康复治疗 。 Objective To study the effect of early continous passive motion(CPM) on knee joint function after operation of distal femur fracture and explore a pratical and effective method to accelerate function recovery of knee joint.Methods Open reduction and internal fixation with anatomical distal femur plate were used in distal femur fracture in all patients.In group CPM,CPM machine was used to exercise the knee joint in 24 hours after operation and lasted 10~14 days,then let the patients to exercise their knee joints by active flexion and stretch.In non-CPM group,let the patients to exercise their knee joints by active and passive flexion and stretch without CPM machine.The function of knee joints were evaluated at ten days and six weeks after operation.Results The function of knee joints in group CPM were significantly better than in non-CPM group.Conclusion Early continous knee joint passive notion after operation of distal femur fracture can accerate the recover of knee joint function.
出处 《临床外科杂志》 2003年第4期254-255,共2页 Journal of Clinical Surgery
关键词 股骨远端骨折 膝关节 CPM knee joint distal femur fracture continous passive motion
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参考文献3

  • 1蓝旭,刘雪梅,葛宝丰,许建中.持续被动活动促进下肢骨折愈合的微循环研究[J].微循环学杂志,2001,11(3):16-17. 被引量:28
  • 2Yashar AA, Vcnn Watson E, Welsh T. Continuous passive motion with accelerated flexion after total knee arthroplasty[J]. Clin orthop, 1997,12(5) :38-43.
  • 3O' Driscoll SW, Giori NJ. Continuous passive motion (CPM) : theory and principles of clinicai application[J]. Rehabil Res Dev, 2000, 37(2): 179-188.

二级参考文献5

  • 1Lee WP,Pan YC, Kesmarky S, et al. Experimental orthotopic transplantation of vascularized skeletal allografts: functional assessment and long - term survival. Plast Reeonstr Surg, 1995, 95(2): 336 ~349.
  • 2Yashar AA, Venn Watson E, Welsh T. Continuous passive motionwith accelerated flexion after total knee arthroplasty. Clin Orthop,1997,12(5) :38~43.
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