早期与恢复期康复治疗对膝关节骨折术后功能恢复的对照研究

A contrast study of functional prognosis in the fractures of the knee joint treated with early rehabilitation or late rehabilitation

目的:比较膝关节骨折术后早期与恢复期开始实施康复治疗的不同疗效。方法:根据康复介入的时间将49例患者分成早期康复组(25例)和恢复期康复组(24例)。两组患者经系统康复治疗后进行膝关节功能评分和ROM评定,并统计随诊1年后患者膝关节活动障碍例数。结果:早期康复组患者膝关节功能评分、ROM均优于恢复期康复组(P<0.01),两组患者随诊1年后膝关节活动障碍例数差异有显著性意义(P<0.05)。结论:早期康复治疗能最大限度防止肌肉萎缩、关节粘连、恢复肢体功能,使患肢功能障碍降低到最低程度。

Objective：To compare the curative effect of the early stage and the late stage postoperative rehabilitation in the fractures of the knee.Method：According to the intervention time of rehabilitation,49 cases were divided into two groups： the early stage group（25 cases） and the late stage group（24 cases）. After treated with systematic rehabilitation protocol the two groups were evaluated with the knee functional scores （KFS） and ROM,the number of cases with knee were compared between two groups at the follow up after one year of fracture.Result：The early stage group was much better than the late stage group in the KFS of knee function（P〈0.01） and ROM（P〈0.01）. And in comparison the cases with the knee joint dysfunction at the follow up after one year,there were significantly between two groups（P〈0.05）.Conclusion：Early stage postoperative rehabilitation in the fractures of the knee joint can prevent muscle atrophy and adhesion, facilitate function restoration and depress the disability.