膝关节手术后功能锻炼时机的临床疗效分析

Relation of clinical effect to postoperative functional exercise time in knee joint operation

目的:探讨膝关节手术后最佳的功能锻炼时机。方法:选用C1型股骨远端骨折,胫骨近端骨折和髌骨骨折,按术后功能锻炼时间分为3组,统计术后30 d的膝关节功能。结果:麻醉消退后即刻开始功能锻炼组术后30 d的膝关节功能优良,较B、C组有统计学差异。结论:在膝关节周围骨折手术坚强固定的基础上,麻醉消退后即刻开始功能锻炼,确能较术后24 h和72 h才开始锻炼,在减轻膝关节的粘连,减少关节内瘢痕组织增生,最大限度地恢复膝关节的功能等方面有着明显的优点。

Objective： To explore the optimal time of postoperative functional exercise of knee joint operation. Methods： Patients with distal femoral type C1 fractures, proximal tibial fractures and patellar fracture were divided into 3 groups by the initial time of postoperative functional exercise ; the knee joints functions were observed 30 days after the operation. Results： The functions of knee joints were satisfactory in patients who started functional exercise immediately after recovery from anesthesia; compared with patients in other groups whose initial functional exercise time was later, there were significant differences. Conclusion： On the condition of the fractures being well fixed, patients who start functional exercise immediately after recovery from anesthesia are better for functional recovery than those who do it in 24 h and 72 h after operation, has less joint adhesion and less proliferation of scars.