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| The Effect of Early Combined Therapy on Surgical Treatment |of Old Femoral Shaft Fracture |
| HOU Jiguang, ZHANG Nan, LUO Shi, et al |
| Department of Orthopedics Hospital of Qinhuangdao, Hebei Qinhuangdao 066000, China |
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Abstract Objective: To study the effect of orthopedic surgeon, rehabilitation physician and nursing joint on the function of knee joint in the early stage of femoral shaft fracture, and to observe the effect of early done of functional exercise therapy. Methods: Patients with femoral shaft fractures were randomly divided into two groups. One group was treated with combination therapy group, orthopedic surgeon and physician, rehabilitation group and nursing treatment. The bone traction was performed in time and early knee function exercise. The other group for the control group, orthopedic surgeon after traction treatment income should be prior to the emergency treatment of general, chest, neurosurgery and other departments, to be stable after the transfer into orthopedic surgery. According to the inclusion criteria, each group collected 30 cases. The age of the two groups, the timing of operation, the time of operation, the shortening of femur, and the knee knee flexion function were recorded and statistically analyzed. Results: There was no significantly difference in the age and operation time between the two groups. The operative time and the number of femoral shortening in the combined group were significantly lower than those in the control group. The active flexion range of the knee joint was better than that of the control group at 3 months after operation. Conclusion: Early combination therapy, preoperative knee functional therapy, standardized traction, more favorable surgical treatment of old femoral shaft fractures, is conducive to the recovery of better knee function.
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[1]刘杰,廖中亚,胡伟,等.小切口切开复位交锁髓内钉固定治疗难复性B型股骨干骨折效果分析[J].中国骨与关节损伤杂志,2013,28(12):1216~1217.
[2] Mrozek S, Gaussiat F, Geeraerts T. The management of femur shaft fracture associated with severe traumatic brain injury[J].Ann Fr Anesth Reanim,2013,32(7~8):510~515.
[3] 李顺国,郭强.交锁髓内钉治疗股骨干骨折的并发症分析及防治措施[J].中国骨与关节损伤杂志,2010,25(4):338~339.
[4] 孟宪卿,梁虎.截骨短缩术在治疗陈旧性股骨干骨折中的应用[J].河北医科大学学报,2010(04):471~472.
[5] 赵晓刚.带锁髓内钉治疗陈旧性股骨干骨折[D].浙江大学,2013.
[6] 刘世涛,陈勇华,肖思贤,等.股骨干骨折术后早期康复训练对膝关节功能康复的作用研究[J].临床医学工程,2010,17(4):91~92.
[7] 付备刚,王秀会,蔡攀,等.闭合复位与切开复位交锁髓内钉内固定治疗股骨干骨折的疗效比较[J].中国骨与关节损伤杂志,2015,30(2):151~154.
[8] Insall J N, Ranawat C S, Aglietti P, et al. A comparison of four models of total knee-replacement prostheses[J].Bone Joint Surg Am,1976,58(6):754~765. |
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2017, Vol. 23 
