下肢创伤后水肿的淋巴引流
Lymph Drainage of Posttraumatic Edema of Lower Limbs.
作者信息
Pereira de Godoy Ana Carolina, Ocampos Troitino Rodrigo, de Fátima Guerreiro Godoy Maria, Pereira de Godoy José Maria
机构信息
Department of Santa Casa de São Paulo and Research Group of Clínica Godoy, São Jose do Rio Preto, SP, Brazil.
ABC Medicine School, Santo André and Research Group of Clínica Godoy, São Jose do Rio Preto, SP, Brazil.
出版信息
Case Rep Orthop. 2018 Mar 5;2018:7236372. doi: 10.1155/2018/7236372. eCollection 2018.
OBJECTIVE
The present study was aimed at evaluating the use of mechanical and manual lymphatic therapy as a treatment for lymphedema resulting from orthopedic surgery that became painful after an episode of erysipelas.
CASE REPORT
A 70-year-old male patient suffered direct trauma resulting in a compound fracture of the tibia and fibula of the left leg. He was treated with an external fixator for four months followed by plaster cast immobilization for three weeks. He presented with fever and paresthesia in the lower left limb that resulted in an episode of erysipelas, and the patient evolved with painful lymphedema. Treatment using the Godoy and Godoy technique was proposed, including manual and mechanical lymphatic therapy. Water displacement volumetry was used to quantify the leg size reduction.
RESULTS
After 10 sessions of therapy, the patient presented a significant reduction in the limb volume and remission of symptoms.
CONCLUSIONS
The method used may be a promising option for the treatment of posttraumatic edemas with pain.
目的
本研究旨在评估机械和手法淋巴治疗对因丹毒发作后变得疼痛的骨科手术后淋巴水肿的治疗效果。
病例报告
一名70岁男性患者遭受直接创伤，导致左腿胫腓骨复合骨折。他接受了四个月的外固定器治疗，随后进行了三周的石膏固定。他出现左下肢体发热和感觉异常，导致丹毒发作，患者发展为疼痛性淋巴水肿。建议采用戈多伊和戈多伊技术进行治疗，包括手法和机械淋巴治疗。采用水置换体积测量法来量化腿部尺寸的减小。
结果
经过10次治疗后，患者肢体体积显著减小，症状缓解。
结论
所采用的方法可能是治疗伴有疼痛的创伤后水肿的一个有前景的选择。
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