术前康复训练对全膝关节置换的近期疗效

目的：探讨全膝关节置换术前开展功能训练对术后近期的康复效果。方法：回顾分析自2005年6月。2008年6月111例124膝接受全膝关节置换的患者临床资料，43例48膝在术前术后均进行康复训练，68例76膝仅在术后行康复训练。结果：将两组患者术后下床活动时间、术后并发症、以及术后膝关节功能恢复等方面进行比较，差异有显著性意义。结论：加强全膝关节置换患者术前的康复功能训练，有利于减少术后并发症的发生率，并能有效增加术后膝关节的活动度和肌力。

Short-term Effect of Rehabilitation Therapy Before Total Knee Arthroplasty

Objective： To discuss the short-term effect of rehabilitation therapy before artificial total knee arthroplasty （TKA）. Methods： The clinical data of 111 TKA patients （124 knees） between June 2005 and June 2008 were retrospectively analyzed. 43 patients （48 knees） underwent rehabilitation instruction and training before and after operation and 68 patients （76 knees） underwent rehabilitation instruction and train- ing just after operation. Results： The first time of out-of-bed activity, complications and functional recovery of knee joint were compared postoperatively. The difference was statistically significant. Conclusion： Reha- bilitation before TKA can decrease the incidence rate of postoperative complications and increase the knee joint mobility and muscle strength.