早期康复对髋臼后壁粉碎骨折术后功能的影响

背景:髋臼骨折的治疗是近年创伤骨科领域的热点问题,临床上因忽视康复治疗而影响治疗效果的现象屡见不鲜,规范的康复治疗是髋臼骨折治疗不可或缺的重要组成部分.目的:观察早期康复治疗对髋臼后壁粉碎骨折患者术后肢体功能的影响.方法:选取河北医科大学第三医院骨科收治的髋臼后壁粉碎性骨折患者40例,男36例,女4例:年龄23-61岁,平均35.3岁;随机分为康复组和对照组,每组20例.行重建钢板内固定后,康复组早期进行规范康复治疗,对照组自行遵医嘱进行功能锻炼.患者均于术后3,6,12个月进行随访,采用改良Merle d'Aubigne和Postel评分系统对患者髋关节功能进行评估.结果:术后3,6,12个月康复组患者Merle d'Aubigne和Postel评分均大于对照组(13.10±2.05,11.20±2.80:14.50±1.32,13.00±2.10;15.80±1.36,14.25±1.74,P<0.05).提示早期进行规范康复治疗有助于髋臼后壁粉碎骨折患者肢体功能恢复.

Effect of early rehabilitation on the hip joint function in patients with comminuted posterior wall fractures of the acetabulum after internal fixation

BACKGROUND: Treatment for acetabular fracture becomes a hot point in orthopaedic trauma, but ignorance of rehabilitative treatment that effect therapeutic efficacy is to be seen repeatedly. Normative rehabilitation therapy is one indispensable procedure of acetabular fracture treatment. OBJECTIVE: To investigate the effect of early rehabilitation on the hip joint function in patients with comminuted posterior wall fractures of the acetabulum after internal fixation. METHODS: Forty patients of comminuted pos...