...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Open Journal of Urology >Immediate Knee Joint Range of Motion after Stable Fixation of Tibial Plateau Fractures
【24h】

Immediate Knee Joint Range of Motion after Stable Fixation of Tibial Plateau Fractures

机译：稳定固定胫骨平台骨折后的立即膝关节活动范围

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The purpose of this study was to evaluate factors that affect initiation of early postoperative range of motion (ROM) rehabilitation and to investigate whether the postoperative ROM and clinical outcomes were affected by initiation of early ROM, immobilization and other factors. We conducted a retrospective analysis of tibial plateau fractures treated using stable internal fixation between December 2003 and June 2007. The resulting degree of flexion and Rasmussen Clinical and Radiographic Scores were evaluated. Thirty-nine patients were included, and 23 patients underwent a lateral submeniscal arthrotomy for evaluation of joint surface reduction, with 6 lateral meniscus lesions identified via arthrotomy. Three lateral collateral ligament lesions, 3 medial collateral ligament lesions and 1 anterior cruciate ligament lesion were found. Meniscus and ligament lesions significantly and negatively affected the initiation of knee joint ROM. Early ROM was achieved in 26 cases and 13 patients underwent immobilization for 4 weeks. At the final evaluation, the early ROM group had 130.42° ± 5.50° of flexion, compared with 122.92° ± 5.28° in the immobilization group. Moreover, the final Rasmussen score was 25.69 ± 2.92 in the early motion group, compared with 22.61 ± 3.5 in the immobilization group. There was no difference between radiographic scores of the groups. Although the initiation of early ROM improved the clinical results, soft tissue lesions influenced initiation of early knee joint motion. Therefore, meniscus and ligament injuries should be considered as prognostic factors in similar cases.
机译：本研究的目的是评估影响术后早期活动范围（ROM）康复的启动因素，并调查术后ROM和临床结局是否受早期ROM启动，固定和其他因素的影响。我们对2003年12月至2007年6月间使用稳定的内固定治疗的胫骨平台骨折进行了回顾性分析。评估了由此产生的屈曲程度以及Rasmussen临床和影像学评分。包括三十九例患者，并对23例进行了半月板下外侧关节切开术以评估关节表面复位，并通过关节切开术鉴定出6个外侧半月板损伤。发现3个外侧副韧带病变，3个内侧副韧带病变和1个前交叉韧带病变。半月板和韧带病变对膝关节ROM的产生有显着负面影响。 26例患者获得了早期ROM，其中13例患者进行了4周的固定。在最终评估中，早期ROM组的屈曲度为130.42°±5.50°，而固定组的屈曲度为122.92°±5.28°。此外，早期运动组的最终拉斯穆森评分为25.69±2.92，而固定组为22.61±3.5。各组的射线照相得分之间没有差异。尽管早期ROM的启动改善了临床效果，但软组织病变影响了早期膝关节运动的启动。因此，在类似情况下，半月板和韧带损伤应被视为预后因素。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号