《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (12): 1035-1036.

• 专题　骨科康复 • 上一篇    下一篇

手术结合早期康复训练治疗踝关节骨折

刘克敏1,2; 冯建璞1,2; 田罡1,2; 刘四海1,2; 王飞1,2; 崔志刚1,2; 唐涛1,2; 王安庆1,2   

  1. 1.北京博爱医院骨科,北京市 100068;2.首都医科大学康复医学院,北京市 100068
  • 收稿日期:2006-10-23 出版日期:2006-12-01 发布日期:2006-12-01

Treatment of Ankle Fracture by Surgery Combined with Early Rehabilitation

LIU Ke-min, FENG Jian-pu, TIAN Gang, et al   

  1. The Department of Orthopedics, Beijing Charity Hospital, Beijing 100068, China
  • Received:2006-10-23 Published:2006-12-01 Online:2006-12-01

PDF (PC)

被引次数

29

摘要： 目的探讨手术切开复位内固定结合术后早期功能康复治疗踝关节骨折的疗效。方法对2001～2005年住院治疗的39例踝关节骨折患者的临床资料进行回顾性分析。除1例单纯内踝骨折行闭合复位空心拉力螺钉内固定外,其余均行切开复位内固定,术后第2天开始患肢肌肉和关节功能康复训练,4周开始部分负重。结果所有伤口均Ⅰ/甲愈合,无1例出现患肢深静脉血栓,出院时患肢无明显肌肉萎缩。29例患者平均17.9个月再住院取内固定物时,踝关节功能良好,步态正常。结论手术结合早期康复治疗踝关节骨折能促进关节功能恢复。

关键词: 踝关节骨折, 治疗, 手术, 康复

Abstract: Objective To investigate the management of ankle fracture with surgery and postoperative rehabilitation.Methods The data of 39 inpatients with ankle fracture from 2001 to 2005 were analyzed retrospectively. All patients were treated surgically with open reduction and internal fixation (ORIF) except one medial ankle fracture with closed reduction. All patients were encouraged to perform active and passive range of motion exercises of ankle and the involved limb on the 2nd day after surgery, and partial weight-bearing was allowed at 4th week after surgery.Results No patients had wound-healing problems and deep venous thrombosis, no significant calf muscle atrophy exist at discharging. 29 patients showed excellent ankle joint function and normal gait when the internal fixation was removed at an average 17.9 postoperative months.Conclusion The surgery combined with early rehabilitation used for ankle fracture can improve the recovery of ankle function.

Key words: ankle fracture, treatment, operation, rehabilitation