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Ilizarov技术治疗小儿胫骨假关节固定术后的康复

A Toddler's Rehabilitation Following Ilizarov's Tibial Pseudoarthrosis Fixation.

作者信息

Lakkadsha Tasneem M, Jain Deepak, Phansopkar Pratik

机构信息

Department of Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Jul 27;14(7):e27347. doi: 10.7759/cureus.27347. eCollection 2022 Jul.

DOI:10.7759/cureus.27347
PMID:36046277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9417060/
Abstract

One of the rare conditions affecting children is pseudoarthrosis of the tibia. The tibia of the affected leg develops a deformity inflicting it to bend backward. We present one such case, who visited the physiotherapy department for post-operative care after receiving Ilizarov's external fixator, which was used to correct this deformity. On presentation, her hip and knee ranges were significantly reduced, her strength in the affected limb had decreased, and her ankle ranges were almost minimal. Her physiotherapy regimen was meticulously planned with consideration for her age and pleasurable activities, allowing us to easily achieve our desired outcome through this play therapy. We noticed significant improvements in her strength and joint ranges after prescribing her routines to follow at home for a month. We thus conclude that physiotherapy is effective in treating this unusual condition.

摘要

影响儿童的罕见病症之一是胫骨假关节。患侧小腿胫骨出现畸形,导致向后弯曲。我们呈现这样一个病例,该患儿在接受用于矫正此畸形的伊里扎洛夫外固定器治疗后,前往物理治疗科接受术后护理。初诊时,她的髋关节和膝关节活动范围明显减小,患侧肢体力量下降,踝关节活动范围几乎极小。我们根据她的年龄和喜好的活动精心规划了物理治疗方案,通过这种游戏疗法轻松实现了预期效果。在为她制定了为期一个月的家庭日常训练计划后,我们注意到她的力量和关节活动范围有了显著改善。因此,我们得出结论,物理治疗对治疗这种罕见病症有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fa/9417060/1da3dffc5f5c/cureus-0014-00000027347-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fa/9417060/de06b249853b/cureus-0014-00000027347-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fa/9417060/f5891a2f184d/cureus-0014-00000027347-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fa/9417060/1da3dffc5f5c/cureus-0014-00000027347-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fa/9417060/de06b249853b/cureus-0014-00000027347-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fa/9417060/f5891a2f184d/cureus-0014-00000027347-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fa/9417060/1da3dffc5f5c/cureus-0014-00000027347-i03.jpg

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引用本文的文献

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Physiotherapy Intervention Focusing on Proprioceptive Retraining for Tibial Pseudoarthrosis Patients Operated With Ilizarov External Fixator: A Case Report.针对接受伊里扎洛夫外固定器手术的胫骨假关节患者进行本体感觉再训练的物理治疗干预:病例报告
Cureus. 2024 Jan 14;16(1):e52274. doi: 10.7759/cureus.52274. eCollection 2024 Jan.

本文引用的文献

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Prolonged Application of Continuous Passive Movement Improves the Postoperative Recovery of Tibial Head Fractures: A Prospective Randomized Controlled Study.持续被动运动延长应用改善胫骨头部骨折术后康复:前瞻性随机对照研究。
Biomed Res Int. 2022 Feb 16;2022:1236781. doi: 10.1155/2022/1236781. eCollection 2022.
2
Management of Congenital Pseudoarthrosis of the Tibia and Fibula.胫腓骨先天性假关节的治疗
Curr Rev Musculoskelet Med. 2019 Jun 22;12(3):356-368. doi: 10.1007/s12178-019-09566-2.
3
Congenital pseudarthrosis of the tibia.
先天性胫骨假关节。
Orthop Traumatol Surg Res. 2011 Nov;97(7):750-61. doi: 10.1016/j.otsr.2011.09.001. Epub 2011 Oct 12.