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股骨骨折后膝关节僵硬的原因及治疗
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- Author:
- No author available
- Journal Title:
- World Health Digest
- Issue:
- 33
- DOI:
- 10.3969/j.issn.1672-5085.2012.33.033
- Key Word:
- 股骨骨折;膝关节僵硬;原因/治疗;功能锻练
Abstract： 目的探索股骨骨折术后膝关节僵硬的预防及治疗方法.方法2005年3月至2010年3月我院收治22例股骨骨折术后膝关节僵硬患者，年龄19~60岁，平均37.5岁，其中中段骨折12例，下段骨折10例，给予手法或切开松解术，结合术后持续被动活动(CPM)功能锻炼.结果平均随访2年，按膝关节外科临床评分系统[1]进行疗效评价，优13例，良7例，可2例，患者基本达到日常生活的伸膝屈膝需要.结论妥善处理股骨骨折、早期进行功能锻炼可有效防止膝关节僵硬，根据内固定及骨折愈合情况，选择合适的松解方法及术后功能康复，均可取得较满意的手术效果.
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