针刀松解配合无痛推拿治疗股骨远端骨折术后膝关节粘连疗效观察

Efficacy Observation on Acupotomology Lysis Combined with Analgesia Massage for Knee Adhesion after Surgery for Distal Femur Fracture

目的：探讨针刀松解配合无痛推拿治疗股骨远端骨折术后膝关节粘连的疗效。方法：将56例股骨远端骨折术后膝关节粘连患者随机分为治疗组（28例）和对照组（28例），治疗组采用针刀松解瘢痕粘连带配合持续镇痛下手法推拿治疗，对照组则在骨科医师指导下自行康复锻炼，观察两组临床疗效。结果：56例患者均获得平均15.4个月的随访；根据Kolmert膝关节功能评定标准，治疗组优良率为78.6%，高于对照组的39.3%（P〈0.01）。结论：针刀松解配合无痛推拿治疗股骨远端骨折术后膝关节粘连疗效满意，有利于膝关节功能恢复。

Objective：To investigate the efficacy of acupotomology lysis combined with analgesia massage for knee adhesion after the surgery for dis-tal femur fracture. Methods：56 cases of patients with knee adhesion after the surgery for distal femur fracture were randomly divided into treatment group （28 cases） and control group （28 cases）, the treatment group treated by acupotomology lysis combined with continuous analgesia massage, while control group by self-rehabilitation exercise under the guidance of their orthopedics physicians, observed the efficacy of two groups. Results：56 cases of patients were followed-up for 15.4 month average;according to the Kolmert functional assessment criteria for knee joint, the excellence rate of treatment group was 78.6%, which was higher than 39.3%that of control group （P〈0.01）. Conclusion：The efficacy of acupotomology lysis combined with analgesia massage for knee adhesion after the surgery for distal femur fracture which is propitious to the recovery of knee joint func-tion is satisfied.