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张力带钢丝固定治疗粉碎性髌骨骨折中物理治疗的有效性:病例报告

Effectiveness of Physical Therapy in a Comminuted Patella Fracture Managed with Tension Band Wiring: A Case Report.

作者信息

Jain Divya R, Deshmukh Mitushi

机构信息

Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Dec 20;15(12):e50870. doi: 10.7759/cureus.50870. eCollection 2023 Dec.

Abstract

A patella fracture occurs when the patella bone, which covers the knee joint, breaks. A severe injury, such as a fall or a hit to the patella, is frequently the cause. There are two types of patella fractures: basic and complicated. The treatment of certain fractures necessitates surgery. Patella fracture symptoms include pain, swelling, bruising, inability to straighten the leg, and inability to walk. Rehabilitation aims to increase the range of motion, increase muscles' strength, and make the patient functionally independent. We report the case of a 69-year-old female with a comminuted patella fracture managed with open reduction and internal fixation (ORIF) with tension band wiring. A four-week inpatient rehabilitation increasing range of motion and improving strength has shown a tremendous improvement in the patient's symptoms.

摘要

当覆盖膝关节的髌骨发生断裂时,就会出现髌骨骨折。严重的损伤,如摔倒或髌骨受到撞击,常常是其病因。髌骨骨折有两种类型:简单骨折和复杂骨折。某些骨折的治疗需要进行手术。髌骨骨折的症状包括疼痛、肿胀、瘀伤、无法伸直腿部以及无法行走。康复的目的是增加关节活动范围、增强肌肉力量,并使患者在功能上实现独立。我们报告了一例69岁女性粉碎性髌骨骨折患者,采用切开复位内固定术(ORIF)及张力带钢丝固定进行治疗。为期四周的住院康复治疗增加了关节活动范围并增强了力量,患者的症状有了显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b218/10799223/697cdbf1d39c/cureus-0015-00000050870-i01.jpg

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[Clinical application of absorbable net-sliding intertexture with tension band wiring comminuted fracture of inferior patella pole].
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本文引用的文献

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Surgical Management of Patellar Fractures.髌骨骨折的手术治疗
Orthop Clin North Am. 2016 Jan;47(1):77-83. doi: 10.1016/j.ocl.2015.08.010.
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Early weight bearing after lower extremity fractures in adults.成人下肢骨折后早期负重。
J Am Acad Orthop Surg. 2013 Dec;21(12):727-38. doi: 10.5435/JAAOS-21-12-727.

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