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[物理治疗在儿童Volkmann挛缩症治疗中的重要性]

[The importance of physical therapy in the treatment of Volkmann's contracture in children].

作者信息

Marković M, Cvetković K, Nikolić G, Petronić I, Tomić T, Marsavelski A

机构信息

Children's Surgical Department, University School of Medicine, Belgrade.

出版信息

Srp Arh Celok Lek. 1993 Mar-Jul;121(3-7):100-1.

PMID:7716635
Abstract

Over the period from 1981 to 1991 twenty-eight children were treated for neurovascular posttraumatic complications (Volkman's contracture), in the Centre for rehabilitation and physical medicine of the Children's surgical department in Belgrade. The success of the treatment depended on how a patient was examined for the first time, and how soon a proper diagnosis was established. On the basis of our experience we insist on an early physical treatment, i.e. while the injured segment is immobilized. An early kinesitherapy followed later by electrotherapy, parafino-therapy, vitamin B therapy and use of corrective plaster cast splints is the best way in treating lesions. The treatment lasted from 3 to 6 months depending on the seriousness of an injury. If there was no good result with physical therapy we carried out surgery followed by physical therapy upon the removal of immobilisation devices.

摘要

1981年至1991年期间,贝尔格莱德儿童外科康复与物理医学中心对28名患有创伤后神经血管并发症(Volkmann挛缩)的儿童进行了治疗。治疗的成功取决于患者首次接受检查的方式以及正确诊断确立的速度。根据我们的经验,我们坚持早期物理治疗,即在受伤部位固定期间进行。早期运动疗法随后结合电疗法、石蜡疗法、维生素B疗法以及使用矫正石膏夹板是治疗损伤的最佳方法。治疗持续3至6个月,具体取决于损伤的严重程度。如果物理治疗效果不佳,我们会在拆除固定装置后进行手术,然后再进行物理治疗。

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