Early rehabilitation following surgical fixation of a femoral shaft fracture
Early rehabilitation following surgical fixation of a femoral shaft fracture
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DOI：
10.1093/ptj/86.4.558
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发表时间：
2006-04-01
期刊：
影响因子：
3.2
通讯作者：
Hewett, TE
中科院分区：
文献类型：
--
作者：
Paterno, MV;Archdeacon, MT;Hewett, TE
背景和目的。本病例报告的目的是描述患者股骨中段骨折固定后的结局，以及基于评估的立即负重康复方法。病例描述。患者是一名28岁男性体力劳动者，在一次迎面机动车事故中左股骨骨折。使用顺行髓内钉对患者进行左股骨内固定治疗。手术后，观察到活动范围、膝伸肌和髋外展肌力量以及步态的损伤。干预的重点是立即负重和早期强化进展，以解决观察到的损害。结果。病人的所有损伤都得到了改善，他能够在6个月内重返体力劳动者的工作岗位。讨论股骨中段骨折手术矫正后立即负重并进行早期强化活动可能会导致损伤和功能限制的早期解决，并减少残疾。[Paterno MV，Archdeacon MT，福特KR等，股骨干骨折手术固定后的早期康复。物理治疗2006;86：558-572.]
Background and Purpose. The purpose of this case report is to describe the outcome of a patient following fixation of a midshaft femur fracture and an evaluation-based, immediate-weight-bearing approach to rehabilitation. Case Description. The patient was a 28-year-old male manual laborer whose left femur was fractured in a head-on motor vehicle accident. The patient was treated with internal fixation of the left femur by use of an antegrade intramedullary nail. Following surgery, impairments in range of motion, knee extensor and hip abductor strength, and gait were observed. Intervention focused on immediate weight bearing and early progression of strengthening to address the observed impairments. Outcomes. All of the patient's impairments improved, and he was able to return to work as a manual laborer within 6 months. Discussion. Immediate weight bearing with early strengthening activities following surgical correction of a midshaft femur fracture may result in early resolution of impairments and functional limitations and decreased disability. [Paterno MV, Archdeacon MT, Ford KR, et al. Early rehabilitation following surgical fixation of a femoral shaft fracture. Phys Ther. 2006;86:558-572.]