关节松动术配合物理因子治疗膝关节周围术后功能障碍

Treatment of joint mobilization combined with physical factors for postoperative dysfunction around knee joint

目的：对比应用关节松动术配合物理因子与传统康复疗法对于治疗膝关节周围手术后膝关节功能障碍的临床疗效。方法：选择膝关节周围术后骨折愈合良好,关节功能障碍患者42例,将其随机分为观察组和对照组,每组各21例,观察组采取关节松动术配合物理因子治疗,对照组采用常规治疗。于治疗30,60天后对比2组患者的疗效、采用膝关节活动范围（ROM）和Lysholm评分对术后膝关节功能进行评估。结果：观察组优14例,良4例,优良率85.7%；对照组优4例,良4例,优良率38.1%,2组间比较差异有统计学意义（P〈0.05）；观察组患者的膝关节ROM和Lysholm评分明显好于对照组,2组间比较差异有高度统计学意义（P〈0.01）。结论：应用关节松动术配合物理因子对于治疗膝关节周围术后造成的功能障碍有明显效果。

Objective：To compare the application of joint mobilization combined with physical factors with traditional rehabilitation therapy for clinical dysfunction of knee joint peripheral treatment of knee joint after operation. Methods：The fractures healed well selection around the knee joint dysfunction after operation, 42 cases, were randomly divided into observation group and control group, 21 cases in each group, the observation group adopted joint mobilization combined with physical therapy, the control group with conventional therapy. In 30,60 days after treatment were compared between two groups, the curative effect of knee joint range of motion （ ROM） and the Lysholm score on postoperative knee function was assessed. Results：in the observation group were excellent in 14 cases, good in 4 cases, the excellent and good rate was 85. 7%; the control group 4 cases of excellent, good in 4 cases, the excellent and good rate was 38. 1%, there was statistically significant difference between two groups （P 〈 0. 05）;groups of patients with knee ROM and Lysholm scores were significantly better than the control group, with a high degree of statistical significance of differences between two groups （P 〈 0. 01）. Conclusion：Application of joint mobilization combined with physical factors for the treatment of knee joint peripheral postoperative caused by dysfunction have a significant effect.