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股骨假体周围骨折的术前康复:一例报告

Prehabilitation in a Periprosthetic Fracture of the Femur: A Case Report.

作者信息

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. 2024 Mar 9;16(3):e55872. doi: 10.7759/cureus.55872. eCollection 2024 Mar.

Abstract

Periprosthetic fractures (PPF) are related to orthopaedic implants like internal fixators, replacement devices, etc. In this case report, we discussed a 55-year-old male patient who came to our tertiary care hospital with complaints of pain and swelling over the left hip for six months. After radiological investigations, he was diagnosed with a left PPF of the femur with posterior dislocation. He was referred to the musculoskeletal physiotherapy department for in-patient rehabilitation before surgery. He received strengthening exercises for lower limb, back, and abdominal muscles, pain management, gait training, etc. for two weeks before his decided surgery date. The patient showed improved strength and maintained his range. There were an improved Visual Analogue Scale (VAS) score and a Lower Extremity Functional Scale (LEFS) score, which signified a reduction in pain and improved functional independence due to enhanced lower limb function, respectively.

摘要

假体周围骨折(PPF)与诸如内固定器、置换装置等骨科植入物相关。在本病例报告中,我们讨论了一名55岁男性患者,他因左髋部疼痛和肿胀六个月前来我们的三级医疗医院就诊。经过影像学检查,他被诊断为左侧股骨假体周围骨折伴后脱位。在手术前,他被转介到肌肉骨骼物理治疗科进行住院康复治疗。在确定的手术日期前两周,他接受了下肢、背部和腹部肌肉的强化锻炼、疼痛管理、步态训练等。患者的力量有所增强,活动范围得以维持。视觉模拟评分(VAS)和下肢功能量表(LEFS)评分均有所改善,分别表明疼痛减轻以及由于下肢功能增强而提高了功能独立性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a899/11002703/44154315e13f/cureus-0016-00000055872-i01.jpg

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