静态进展性牵伸对膝关节骨性关节炎患者全膝关节置换术后屈膝畸形的矫正效果观察

发布时间：2018-06-04 03:15

本文选题：骨性关节炎 + 膝关节　；参考：《山东医药》2017年04期

【摘要】：目的探讨静态进展性牵伸对膝关节骨性关节炎患者全膝关节置换术后屈膝畸形的矫正效果。方法选取膝关节骨性关节炎患者32例(32膝)随机分为观察组和对照组,每组16例16膝。两组均进行人工全膝关节置换手术。术后24 h,观察组IK膝关节牵伸康复系统行静态进展性牵伸,对照组采用传统方法行康复锻炼。分别在手术前及术后7天、3个月时使用角度计测量两组膝关节屈膝畸形的角度,于术前和术后3个月进行美国膝关节协会(AKS)膝关节评分。结果两组术后7天及3个月时屈膝畸形角度均较术前降低(P均0.05);术前及术后7天屈膝畸形角度比较差异均无统计学意义(P均0.05),术后3个月时观察组屈膝畸形角度小于对照组(P0.05)。两组术后3个月时AKS膝关节评分均较术前增加(P均0.05),两组比较差异无统计学意义(P0.05)。结论静态进展性牵伸可以矫正膝关节骨性关节炎患者人工全膝关节置换术后屈膝畸形,效果优于传统功能锻炼。
[Abstract]:Objective to investigate the effect of static progressive stretching on knee flexion deformity after total knee arthroplasty in patients with osteoarthritis. Methods 32 patients with osteoarthritis of knee were randomly divided into observation group and control group with 16 knees in each group. Total knee arthroplasty was performed in both groups. 24 hours after operation, the IK knee joint drafting rehabilitation system in the observation group was treated with static progressive drafting, while the control group was treated with the traditional method. The angle of knee flexion was measured before operation and 7 days and 3 months after operation, and the knee joint score of American knee Association (AKA) was evaluated before and 3 months after operation. Results at 7 and 3 months after operation, the angle of flexion deformity in the two groups was significantly lower than that in the control group (P < 0.05), but there was no significant difference between the two groups in the angle of flexion deformity before and at the 7th day after operation (P < 0.05), and at 3 months after operation, the angle of flexion deformity in the observation group was lower than that in the control group (P 0.05). At 3 months after operation, the AKS knee joint score in the two groups increased significantly compared with that before operation (P < 0.05), but there was no significant difference between the two groups (P 0.05). Conclusion static progressive stretching can correct knee flexion deformity after total knee arthroplasty in patients with knee osteoarthritis, and the effect is better than that of traditional functional exercise.
【作者单位】：北京积水潭医院;
【分类号】：R687.4

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