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目的:探讨克氏针张力带联合髌韧带缝扎固定治疗髌骨下极粉碎性骨折患者术后康复护理方法,为该类患者术后康复护理提供经验。方法:总结分析我院在2012年10月—2014年1月间治疗的58例克氏针张力带联合髌韧带缝扎固定治疗髌骨下极粉碎性骨折病例资料,制定规范、连续的康复护理工作计划,协助患者进行术后康复功能锻炼,并分析康复效果。结果:对术后患者进行9~17个月随访,全部58例患者膝关节功能恢复好。膝关节功能评定结果:优49例,良6例,可3例,优良率达94.8%。结论:克氏针张力带联合髌韧带缝扎固定治疗髌骨下极粉碎性骨折术后合理的康复锻炼与护理十分重要,可帮助患者尽早恢复膝关节功能,减少病人痛苦,提高病人术后生活质量。
Objective: To investigate the postoperative rehabilitation nursing of patients with comminuted patellofemoral comminuted fracture treated with kirschner wire tension band combined with patellar ligament suture fixation, and to provide experience for postoperative rehabilitation nursing. Methods: The data of 58 cases of comminuted patellar comminuted fracture treated with Kirschner wire combined with patellar tendon ligament in our hospital from October 2012 to January 2014 were summarized and analyzed. The standard and continuous rehabilitation nursing work Plan to assist patients with postoperative rehabilitation functional exercise, and analysis of rehabilitation effects. Results: Postoperative patients were followed up for 9 to 17 months, and all 58 patients recovered well. Knee function assessment results: excellent in 49 cases, good in 6 cases, 3 cases, good rate of 94.8%. Conclusion: Kirschner wire tension band combined with patellar ligament suture fixation in the treatment of severe comminuted patellar comminuted fracture surgery is very important after rehabilitation and nursing can help patients recover as soon as possible knee function, reduce patient pain and improve postoperative quality of life .