中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (4): 732-735.doi: 10.3969/j.issn.1673-8225.2010.04.038

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

早期康复对髋臼后壁粉碎骨折术后功能的影响

吴啸波，张  奇，宋连新，张英泽   

  1. 河北医科大学第三医院骨科，河北省石家庄市  050051
  • 出版日期:2010-01-22 发布日期:2010-01-22
  • 通讯作者: 张英泽，教授，河北医科大学第三医院骨科，河北省石家庄市 050051 mdzhangyingze@gmail.com
  • 作者简介:吴啸波☆，男，1963年生，江苏省睢宁县人，汉族，河北医科大学在读博士，副主任医师，主要从事髋臼骨折方面的研究。 drwuxiaobo@foxmail.com
  • 基金资助:

    国家自然基金资助项目(30440014)。

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

Wu Xiao-bo, Zhang Qi, Song Lian-xin, Zhang Ying-ze   

  1. Department of Orthopedics, Third Hospital of Hebei Medical University, Shijiazhuang  050051, Hebei Province, China
  • Online:2010-01-22 Published:2010-01-22
  • Contact: Zhang Ying-ze, Professor, Department of Orthopedics, Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei Province, China mdzhangyingze@gmail.com
  • About author:Wu Xiao-bo☆, Studying for doctorate, Associate chief physician, Department of Orthopedics, Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei Province, China drwuxiaobo@foxmail.com
  • Supported by:

     the National Natural Science Foundation of China, N0.30440014*

PDF

576

被引次数

11

摘要：

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。

关键词: 髋臼, 骨折, 内固定, 康复, 功能恢复

Abstract:

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 posterior wall fractures of the acetabulum at the Department of Orthopedics, Third Hospital of Hebei Medical University, were selected, including 36 males and 4 females, aged 23-61 years, mean aged 35.3 years. All patients were randomly divided into rehabilitation and control group, with 20 patients in each group. All the patients were fixed with reconstruction plate, the patients in the rehabilitation group received early standard rehabilitation exercises intervention and those in control group received usual care. The clinical result was evaluated with the scores of Merle d’Aubigne and Postel.
RESULTS AND CONCLUSION: The scores of Merle d’Aubigne and Postel of the rehabilitation group were (13.10±2.05), (14.50±1.32), and (15.80±1.36) points at months 3, 6, and 12 after operation, which were greater than those of the control group (11.20±2.80), (13.00 ±2.10), and (14.25±1.74) points, respectively (P < 0.05). The early rehabilitation exercises may improve the hip joint function for patients of the comminuted posterior wall fractures of the acetabulum after surgery.

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