| 膝关节周围恶性骨肿瘤保肢术后的肢体功能康复 |
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| 引用本文： | 刘继中,王臻,胡蕴玉,李明全,张春礼,韩利华.膝关节周围恶性骨肿瘤保肢术后的肢体功能康复[J].中国组织工程研究与临床康复,2001,5(8):33-34. |
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| 作者姓名： | 刘继中 王臻 胡蕴玉 李明全 张春礼 韩利华 |
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| 作者单位： | 解放军第四军医大学西京医院全军骨科研究所, |
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| 摘 要： | 目的总结股骨下端、胫骨上端恶性骨肿瘤患者保肢手术后膝关节功能康复方法。方法64例恶性骨肿瘤患者接受不同方式的保肢手术治疗，平均随访36.8个月。结果(1)术后早期系统的康复治疗有利于膝关节功能恢复和减少术后并发症。因恶性骨肿瘤保肢手术创伤大，膝关节屈伸锻炼最早在手术1周后进行，而异体半关节移植的患者手术3周内需用支架固定。（2）术后感染、皮肤坏死、关节退变和不稳是导致肢体功能不良的主要因素。（3）异体半关节移植、保留自体髁部关节面的异体骨段移植、人工全膝关节置换的术后肢体功能优良率分别为48.6％、81.3％、90.9％。结论保肢手术方法选择应注重恢复肢体功能，术后早期进行康复训练有利于膝关节功能康复。
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| 关 键 词： | 骨恶性肿瘤 保肢手术 术后康复 |
| 文章编号： | 1007－5496(2001)04－0033－02 |
| 修稿时间： | 2001年2月8日 |
Rehabilitation procedures
after limb salvage for bone malignant tumors around knee joint |
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| Abstract: | Objective Evaluation the results of limb function and the rehabilitation procedures after limb salvage for bone malignant tumors around knee joint.Method 64 patients suffered from bone malignant tumor were treated with different methods. The average period of follow－ up is 36.8 months.Result Early rehabilitation may lead to better knee joint function. Skin necrosis, infection, bone non－ union, fracture of allograft were the main complications which affect patients' limb postoperative functions. Total knee prostheses replacement was of recommended method of limb salvage methods.Conclusion Rehabilitation procedures should be emphasized after limb salvage for bone malignant tumors around knee joint, and early limb exercises may lead to better joint function |
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