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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

Physiotherapy Intervention Focusing on Proprioceptive Retraining for Tibial Pseudoarthrosis Patients Operated With Ilizarov External Fixator: A Case Report.

作者信息

Rohankar Anushka, Thakre Vaishnavi M, Deshpande Maithili M

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. 2024 Jan 14;16(1):e52274. doi: 10.7759/cureus.52274. eCollection 2024 Jan.

Abstract

Pseudoarthrosis of the tibia is an uncommon condition that occurs due to non-union of bone and typically requires surgery. It may cause fractures that develop spontaneously or after minor trauma. Physiotherapy is an excellent treatment for this uncommon condition. The tibia of the affected limb becomes malformed and bends backwards. This case report outlines the interdisciplinary programme adopted to successfully manage a 23-year-old female patient with right-sided tibial pseudoarthrosis. Following the implantation of Ilizarov's external fixator to correct the deformity, the patient was referred to the physiotherapy department for post-operative management. After the implementation of a tailor-made physiotherapy protocol focusing on proprioceptive retraining, significant improvements were seen in her joint proprioception, muscular strength and range of motion.

摘要

胫骨假关节是一种因骨不连而发生的罕见病症,通常需要进行手术。它可能导致自发性骨折或轻微创伤后骨折。物理治疗是治疗这种罕见病症的一种有效方法。患肢的胫骨会发生畸形并向后弯曲。本病例报告概述了为成功治疗一名患有右侧胫骨假关节的23岁女性患者而采用的跨学科方案。在植入伊利扎罗夫外固定器以矫正畸形后,患者被转至物理治疗科进行术后管理。在实施了以本体感觉再训练为重点的量身定制的物理治疗方案后,她的关节本体感觉、肌肉力量和活动范围都有了显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e31/10864689/7fb25c4f999d/cureus-0016-00000052274-i01.jpg

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