快速康复锻炼对膝关节内翻畸形患者行全膝关节置换术后关节活动度的影响  

Effect of rapid rehabilitation exercise on postoperative joint mobility of patients with knee joint varus deformity after total knee arthroplasty

作　　者：徐艺 李琳[1] 史凌云[1] XU Yi;LI Lin;SHI Lingyun(Department of Joint Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumchi 830000, China)

机构地区：[1]新疆医科大学第一附属医院关节外科

出　　处：《西部医学》2019年第8期1293-1297,共5页Medical Journal of West China

基　　金：新疆维吾尔自治区自然科学基金(2015211CO64)

摘　　要：目的探讨快速康复锻炼对膝关节内翻畸形患者行全膝关节置换术后关节活动度的影响。方法选取我院2016年5月~2017年5月收治的因膝骨关节炎导致膝关节内翻畸形患者76例为研究对象,由同一组医师行全膝关节置换术。按术后康复方法分为观察组和对照组,每组38例。观察组采用快速康复锻炼,对照组采用常规康复锻炼。比较两组患者术前和术后1个月时膝关节活动度、膝关节功能(HSS)评分、膝关节内翻角度、膝关节最大屈曲角度、膝关节最大伸直角度以及生活质量评分的差异。结果与术前比较,两组患者术后1个月时的膝关节活动度、HSS评分和膝关节最大屈曲角度均明显增加,膝关节内翻角度和膝关节最大伸直角度明显下降,差异均有统计学意义(均P<0.05);与对照组比较,除膝关节内翻角度外,观察组以上其他指标变化更明显(P<0.05)。另外,干预后,两组患者生活质量项目评分明显升高(P<0.05),观察组患者的躯体功能、躯体角色、机体疼痛、总的健康、社会功能和情绪角色等项目评分均明显高于对照组(P<0.05)。结论膝关节内翻畸形患者行全膝关节置换术,术后快速康复锻炼有利于患者膝关节活动度的恢复,提高患者的生活质量,可在临床推广应用。ObjectiveTo analyze the effect of rapid rehabilitation exercise on postoperative joint mobility of patients with knee joint varus deformity after total knee arthroplasty. Methods76 patients with knee varus deformity caused by knee osteoarthritis were enrolled in our hospital from May 2016 to May 2017. All patients underwent total knee arthroplasty. After surgery, 38 cases were recovered by active and rapid rehabilitation (study group) and 38 cases were performed using conventional rehabilitation method (control group) The knee activity, knee function (HSS) score, knee varus angle, knee maximum flexion angle, knee maximum angle of extension and quality of life score of patients were compared before and after surgery. ResultsCompared with the before operation, the knee activity, knee function (HSS) score, knee maximum flexion angle were significantly increased in the two groups after operation, and knee varus angle and the maximal angle of knee joint significantly decreased ( P <0.01). Compared with the control group, except knee varus angle, the changes of the other indexes were more obvious in study group ( P <0.01 or P <0.05). In addition, after intervention of exercise, the scores of the quality of life items in the two groups were significantly increased ( P <0.01), and the scores of physical function, somatic character, body pain, total health, social function and emotional role in patients with rapid rehabilitation exercise were significantly higher than control group ( P <0.05 or P <0.01). ConclusionAfter total knee arthroplasty of patients with knee joint varus deformity, active and rapid rehabilitation is beneficial to the recovery of knee joint activity, which is better than conventional rehabilitation exercise.

关 键 词：膝关节内翻畸形 全膝关节置换术 快速康复锻炼 关节活动度 

分 类 号：R682.6[医药卫生—骨科学]