综合治疗膝关节伸位僵直35例（Comprehensive treatment of knee extensor rigidity in 35 cases）.docVIP

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综合治疗膝关节伸位僵直35例（Comprehensive treatment of knee extensor rigidity in 35 cases）.doc

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综合治疗膝关节伸位僵直35例（Comprehensive treatment of knee extensor rigidity in 35 cases）

综合治疗膝关节伸位僵直35例（Comprehensive treatment of knee extensor rigidity in 35 cases） Comprehensive treatment of knee extensor rigidity in 35 cases Update Date: 2009-04-02 click: Fan Shiping Zhang Weidong Keywords stiff knee joint; comprehensive therapy; After the femoral shaft fracture and knee injury, because of improper treatment, a small number of patients may have secondary fibrous stiffness of the knee, which has a great impact on the life and work of the patients. Most of the patients in our country have advocated surgical loosening [1~3]. In our hospital from April 1990 to July 1999, 35 cases of knee joint extension and stiffness were treated with comprehensive methods, and good results were received. 1 clinical information They were all hospitalized cases, including 28 males and 7 females. The youngest was 14 years old and the oldest was 56 years old, with an average age of 32 years. Injuries: 28 cases were closed injuries, 7 cases were open injuries, among them 19 cases were 1/3 fracture of femoral shaft, 13 cases were 1/3 fracture under femoral shaft, and 3 cases were patellar fracture. Rigidity time: 5~7 months, 18 cases, 8~9 months, 13 cases, 10~11 months, 3 cases, 12 months, 1 cases. Knee joint range of motion: 5 to 10 degrees, 4 cases, 11 degrees to 15 degrees, 6 cases, 16 to 20 degrees, 11 cases, 21 to 25 degrees, 14 cases. 2 treatment 2.1 after the first spinal manipulation in the treatment of femoral head four muscle massage, massage, make stiff muscles loose after knee joint passive flexion activities, massage should be gentle and safe, to gradually slow, knees, sometimes hear tissue tearing sound, general requirements for passive knees up to 90 degrees or so. This group of patients in the manipulation, a floating patella test (+), 8 patients underwent knee joint puncture, taking knee hemarthrosis; 8 cases of knee joint puncture were 16 cases, most of them were puncture blood 5 times, an average of 2 times. First days and 2.2 functional exercise after ma