運(yùn)動(dòng)康復(fù)的意義
術(shù)后康復(fù)對(duì)于治療有重要影響。早期行肢體鍛煉,不但可以使關(guān)節(jié)肌肉在活動(dòng)中恢復(fù)功能,還能預(yù)防下肢靜脈血栓。肌肉的等張收縮和等長(zhǎng)收縮,關(guān)節(jié)的被動(dòng)與主動(dòng)運(yùn)動(dòng),不僅對(duì)肢體運(yùn)動(dòng)功能的恢復(fù)有利,同時(shí)也能促進(jìn)骨折的愈合。同時(shí)可以預(yù)防骨質(zhì)疏松的進(jìn)一步加重。但同時(shí)對(duì)于嚴(yán)重粉碎的骨折內(nèi)固定術(shù)后不宜早期負(fù)重,因?yàn)檫@樣會(huì)造成內(nèi)固定松動(dòng)或股骨頭切割等并發(fā)癥的發(fā)生。
(馬占忠)
參考文獻(xiàn)
[1]劉云鵬,劉沂.骨與關(guān)節(jié)損傷和疾病的診斷分類及功能評(píng)價(jià)標(biāo)準(zhǔn).北京:清華大學(xué)出版社,2002:217-219
[2]胥少汀,葛寶豐,徐印坎.實(shí)用骨科學(xué).北京:人民軍醫(yī)出版社,1999:677
[3]Zuckeman JD,SkovronML,Koval,et al.Postoperative complication and mortality associated delay in older patients who have frature of the hip.J Bone Joint Surg[AM],1995,77:1551-1556
[4]黃公怡.骨質(zhì)疏松性骨折.老年醫(yī)學(xué)與保健,2003,9(2):79-81
[5]王秋根,陸晴文.骨質(zhì)疏松性骨折的外科治療進(jìn)展.中華骨科雜志,2004,24:678-682
[6]王亦驄.骨與關(guān)節(jié)損傷.4版.北京:人民衛(wèi)生出版社,2007:546-573
[7]姜保國(guó),張殿英,傅中國(guó).股骨近端病損的內(nèi)固定治療進(jìn)展.中國(guó)骨腫瘤骨病雜志,2002,1(1):10-12
[8]Admas CL,Robinson CM,Court-Brown CM,et al.The treatment of trochanteric fracture of the femur,J Orthop Trauma,2001,15:394
[9]蔡迎峰,陳勝,張維.股骨小粗隆缺損的生物力學(xué)評(píng)價(jià)及臨床意義.骨與關(guān)節(jié)損傷雜志,2001,16(3):156
[10]Mast J,Jakob R,Ganz R.Planning and reduction techniques in fractures surgery.springer,1989:111
[11]Parker MJ,Pryor GA.camma versus DHS nailing for extracapsular femoral fractures.Metaanalysis of ten randomized trials.Int orthop,1996,20(3):163-168
[12]Tidermark J,Ponzer S,Svensson O,et al.Internal fixation compared with total hip replancement for displance femoral neck fracture in the elderly:a randoatised,controlled trial.J Bone Joint Surg(Br),2003,85:380-388
免責(zé)聲明:以上內(nèi)容源自網(wǎng)絡(luò),版權(quán)歸原作者所有,如有侵犯您的原創(chuàng)版權(quán)請(qǐng)告知,我們將盡快刪除相關(guān)內(nèi)容。