膝关节半月板损伤后手法复位保守治疗体会

The experience of manipulative reduction and conservative treatment in the treatment of knee meniscus injury

目的观察探讨单纯手法复位治疗半月板损伤的效果分析。方法将我院2014年4月至2016年4月收治的膝关节半月板损伤患者56例,入院时随机分为对照组(27例),手法复位组(29例),对照组只进行支具固定、药物治疗;手法复位组进行手法复位后支具固定联合药物治疗,两组患者均进行支具固定4周后行相应的膝关节功能康复训练。结果对照组患者27例,治愈8例,无效19例,有效率29.6%。手法复位组29例,治愈15例,无效14例,有效率51.7%。结论对于膝关节半月板损伤患者行手法复位后再联合临床治疗以及进行康复功能训练,临床疗效显著,患者治愈率高,可提高患者的生活质量。

Objective Investigate and analyze the effect of pure manual reduction in the treatment of meniscus injury. Methods 56 patients suffering from knee meniscus injury and hospitalized in our hospital during April 2014 and April 2016 were randomly divided into control group （27 cases） and treatment group （29 cases） when they admitted in hospital, the control group received brace fixation and drug treatment, patients in the treatment group were given brace fixation after manipulative reduction combined with drug treatment, after four weeks＇fixation patients in both groups received knee joint function rehabilitation training. Results In the control group 8 cases were cured, 19 cases were invalid, and the effective rate was 29.6%. 15 in 29 cases in the reduction group were cured, 14 cases were invalid, and the effective rate was 51.7%. Conclusions Treating knee joint meniscus injury patients with manual reduction combined with clinical treatment and function rehabilitation training, obtains distinct clinical curative effect and with high cure rate, can improve the life quality of patients.