Karumo I
Ann Chir Gynaecol. 1977;66(6):278-83.
22 patients with fractures of the femoral shaft were divided into 2 groups. One group (12 patients) were given the standard postoperative physiotherapy and the remainder (10 patients) received intensive physiotherapy. Clinical examination of the knee joint was performed 2, 4 and 9 weeks postoperatively. The patients' mean age was 31 years; 15 of them were men. The fractures in 18 patients were treated with intramedullary nailing, 2 with a long-shanked Jewett nail and 2 with AO-nailing. Mobilisation and quadriceps atrophy of the injured limb of the patients given intensive physiotherapy appeared to improve faster than in the patients of the routine physiotherapy group. Nine weeks after the operation the range of knee movement had normalised in the cases given intensive physiotherapy. The flexion strength of the knee in the operated limb was close to the values for the normal limb after nine weeks, but the extension strength was still 40-66% below the values for the healthy limb. The greatest increase in muscle power occurred during the first four postoperative weeks. Intensive physiotherapy seems to hasten the recovery of quadriceps strength of the patients with fractures of the femoral shaft, and to shorten the duration of sick leave of the patients operated on by closed intramedullary nailing.
22例股骨干骨折患者被分为两组。一组（12例患者）接受标准术后物理治疗，其余（10例患者）接受强化物理治疗。术后2周、4周和9周对膝关节进行临床检查。患者的平均年龄为31岁；其中15人为男性。18例患者的骨折采用髓内钉治疗，2例采用长柄Jewett钉治疗，2例采用AO钉治疗。接受强化物理治疗的患者受伤肢体的活动能力和股四头肌萎缩情况似乎比常规物理治疗组的患者改善得更快。强化物理治疗的病例术后9周膝关节活动范围已恢复正常。术后9周，手术肢体膝关节的屈曲力量接近正常肢体的值，但伸展力量仍比健康肢体的值低40 - 66%。肌肉力量的最大增加发生在术后的前四周。强化物理治疗似乎能加速股骨干骨折患者股四头肌力量的恢复，并缩短闭合髓内钉手术患者的病假时间。
