“定骨舒筋”用于髌骨骨折早期康复的临床研究

Clinical study on early rehabilitation of patellar fracture treated by manipulation of fixing bones and relaxing tendons

目的观察"定骨舒筋"手法用于髌骨闭合性骨折早期康复的疗效。方法60例伤后半个月的病例,对照组30例在夹板固定下行股四头肌收缩活动;治疗组30例去除夹板,用手法对骨折端进行有效的固定而进行主动和被动的关节活动。结果治疗组平均愈合时间4.33周,比对照组明显缩短(P<0.01),膝关节活动度比对照组明显提高(1个月P<0.01;2个月P<0.05),3个月膝关节功能积分优级率比对照组高(P<0.05)。结论"定骨舒筋"对骨折的提前愈合和关节的尽早恢复具有良好的临床疗效。

Objective To observe the curative effect of the manipulation of fixing bones and relaxing tendons used in the early rehabilitation of patellar closed fracture. Method All 60 cases of patellar closed fracture for half month were divided into the control group （ n = 30） with the contraction-relaxing activities of quadriceps femoris under the splint fixation, and the treatment group （n = 30） treated with the manipulation of fixing bones and relaxing tendons to fix effectively the fracture ends and control the active and passive activities of the knee. Result In the treatment group the average healing time was 4.33 weeks, which was shorter significantly than that in the control group （ P 〈 0.01 ）. The range of knee motion was improved significantly （P 〈0.01 after one month, P 〈0.05 after 2 months）, and after 3 months the excellent rate of knee functional evaluation score was higher than that in the control group （P 〈 0.05 ）. Conclusion The manipulation of fixing bones and relaxing tendons has a good curative effect in the early rehabilitation of patellar fracture and recovery of the knee joint.