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一份针对术后髌骨骨折畸形愈合的综合物理治疗康复方案:病例报告

A Comprehensive Physiotherapeutic Rehabilitation Protocol for Malunited Post-operative Patellar Fractures: A Case Report.

作者信息

Mirapurkar Tanvi S, Boob Manali A, Bhoge Shruti S, Phansopkar Pratik

机构信息

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

出版信息

Cureus. 2023 Dec 28;15(12):e51252. doi: 10.7759/cureus.51252. eCollection 2023 Dec.

Abstract

A patellar fracture is a fracture of the kneecap. The patella is a shield that plays a vital function in the biomechanics of the knee joint. Traumatic knee injuries produced by direct trauma or quick quadriceps contraction with the knee bent can result in the loss of the extensor mechanism. A 69-year-old female patient presented with pain in her right knee following a slip at her home, which resulted in an injury to her knee. Subsequently, a radiological investigation suggests a patellar fracture. The purpose of this case report is to investigate the rehabilitation techniques and concrete the result. This report emphasizes the value of a comprehensive rehabilitation program designed to assist people with this type of fracture pattern in reaching their peak operational capacity. The patient underwent a comprehensive rehabilitation regimen that included cryotherapy, range of motion exercises, strengthening exercises, gait training, balance and proprioception training. The functional outcomes were assessed using a visual analogue scale, goniometry, manual muscle testing, Berg balance scale and lower extremity functional scale. The patient exhibited significant improvement and a positive response to the therapeutic techniques and outcome assessments. This underscores the necessity for a well-rounded treatment approach to manage patellar fractures and optimize patient outcomes effectively.

摘要

髌骨骨折是指膝盖骨的骨折。髌骨是一块在膝关节生物力学中发挥重要作用的盾牌。直接创伤或膝关节弯曲时股四头肌快速收缩所导致的创伤性膝关节损伤,可能会造成伸肌机制丧失。一名69岁女性患者在家中滑倒后出现右膝疼痛,导致膝盖受伤。随后,影像学检查显示为髌骨骨折。本病例报告的目的是研究康复技术并巩固结果。本报告强调了一个全面康复计划的价值,该计划旨在帮助患有这种骨折类型的人达到其最佳功能能力。患者接受了包括冷冻疗法、活动范围练习、强化练习、步态训练、平衡和本体感觉训练在内的全面康复方案。使用视觉模拟量表、测角法、徒手肌力测试、伯格平衡量表和下肢功能量表对功能结果进行评估。患者表现出显著改善,并对治疗技术和结果评估有积极反应。这凸显了采用全面治疗方法来处理髌骨骨折并有效优化患者预后的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c737/10822036/0e047b8d0c9b/cureus-0015-00000051252-i01.jpg

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