膝关节松动术联合牵引治疗骨折后关节僵硬的效果评价  

Effect of Knee Joint Loosening Combined with Traction in the Treatment of Joint Stiffness after Fracture

作　　者：邹跃 张运动 刘超 魏营勃 杨智 ZOU Yue;ZHANG Yundong;LIU Chao;WEI Yingbo;YANG Zhi(Department of Orthopedics,Wuhai People's Hospital,Wuhai,Inner Mongolia Autonomous Region,016000 China)

机构地区：[1]乌海市人民医院骨科,内蒙古乌海016000

出　　处：《中外医疗》2024年第10期22-25,30,共5页China & Foreign Medical Treatment

摘　　要：目的探讨膝关节松动术联合牵引治疗骨折后关节僵硬的临床效果。方法方便选取2022年1月—2023年5月乌海市人民医院收治的64例骨折后膝关节僵硬患者为研究对象,用简单随机法分为观察组和对照组,各32例。对照组施以常规康复治疗,观察组于对照组基础上实施膝关节松动术联合间歇性恒力牵引治疗,连续治疗4周后比较两组患者临床疗效,并观察两组患者并发症发生率。结果治疗后,观察组膝关节主动活动度(92.39±10.52)°、膝关节被动活动度(114.83±13.56)°大于对照组的(82.07±9.65)°、(100.45±12.77)°,差异有统计学意义(t=4.089、4.367,P均<0.05);治疗后,观察组Lysholm膝关节评分(88.79±6.15)分、Berg平衡量表评分(48.96±5.47)分均高于对照组的(79.85±7.66)分、(40.35±5.50)分,差异有统计学意义(t=5.148、6.279,P均<0.05);治疗后,观察组膝关节优良率(93.75%)明显高于对照组(71.88%),差异有统计学意义(χ^(2)=5.379,P=0.020);两组患者并发症发生率比较,差异无统计学意义(χ^(2)=0.217,P=0.641)。结论膝关节松动术联合间歇性恒力牵引治疗骨折后关节僵硬效果显著,可增加患者膝关节活动范围,改善膝关节功能及膝关节稳定性,且不会增加并发症发生率。Objective To investigate the clinical effect of knee joint loosening combined with traction in the treatment of joint stiffness after fracture.Methods A total of 64 patients with knee joint stiffness after fracture treated in Wuhai People's Hospital from January 2022 to May 2023 were conveniently selected as the study objects,and were divided into observation group and control group by simple random method,with 32 cases in each group.The control group received conventional rehabilitation treatment,and the observation group received knee joint loosening combined with intermittent constant force traction treatment on the basis of the control group.After continuous treatment for 4 weeks,the clinical efficacy of the two groups was compared,and the incidence of complications in the two groups was observed.Results After treatment,active range of motion(92.39±10.52)°and passive range of motion(114.83±13.56)°in observation group were higher than those in control group of(82.07±9.65)°and(100.45±12.77)°,the differences were statistically significant(t=4.089,4.367,both P<0.05).After treatment,Lysholm knee score(88.79±6.15)points and Berg Balance Scale scores(48.96±5.47)points in the observation group were higher than those in the control group of(79.85±7.66)points and(40.35±5.50)points,and the differences were statistically significant(t=5.148,6.279,both P<0.05).After treatment,the excellent and good rate of knee joint in observation group(93.75%)was significantly higher than that in control group(71.88%),and the difference was statistically significant(χ^(2)=5.379,P=0.020).There was no significant difference in the incidence of complications between the two groups(χ^(2)=0.217,P=0.641).Conclusion Knee joint loosening combined with intermittent constant force traction has a significant effect on the treatment of joint stiffness after fracture,which can increase the range of knee joint motion,improve the function and stability of the knee joint,which does not increase the incidence of complications.

关 键 词：骨折 膝关节僵硬 膝关节松动术 间歇性恒力牵引 膝关节功能 

分 类 号：R5[医药卫生—内科学]