骨与关节损伤的康复治疗

Rehabilitation of Injuries of the Bone and Joints

本文报告102例骨与关节损伤患者的治疗。其中84例为关节内及多发骨折。在渗出及出血阶段,主要的康复方法是肢体的肌肉有规律、主动锻炼或选择部分患者,使用力学辅助器(架)进行早期、连续被动活动。在粘连及肌肉萎缩阶段,主要方法是主动肌肉锻炼和关节运动。对于粘连及挛缩严重者,我们推荐长时间伴有载荷的主动及被动锻炼。功能结果优67例,良24例,中11例。

102 patients with injuries of the bone and joints were treated. In which 84 patients were interarticular and multiple fractures. Essential rehabilitative measures at the stages of exudation and hemorrhage were (1) regular active exercise of muscles of the extremity and (2) early continuous passive movement in selected cases using the mechanical aids. During the stages of adhesion and muscular atrophy, the main methodes were active muscle exercise and joint motion. For advanced cases of adhesion and contracture, we advocate a method of long-term concomitant loaded active and passive exercise. As for the functional result, there were excellent 67, good 24 and fair 11.