【摘要】 目的 比較脛骨平臺骨折術(shù)后輔助與不輔助持續(xù)被動運(yùn)動（continuous passive motion，CPM）的臨床療效。 方法 對2008年6月-2009年6月86例行手術(shù)治療的閉合性、無合并損傷的脛骨平臺骨折患者進(jìn)行回顧性分析。根據(jù)是否輔助CPM分為CPM組27例和非CPM組（對照組）59例。對兩組患者的傷口愈合情況，膝關(guān)節(jié)屈曲、伸直角度，以及膝關(guān)節(jié)功能恢復(fù)情況進(jìn)行比較。 結(jié)果 兩組傷口甲級愈合率差異無統(tǒng)計(jì)學(xué)意義（P=0.566）。在術(shù)后2周和6周，CPM組患者的膝關(guān)節(jié)屈曲角度明顯大于對照組（P lt;0.001），但在術(shù)后3個(gè)月和12個(gè)月，兩組的差異無統(tǒng)計(jì)學(xué)意義（P=0.219，P=0.512）。在術(shù)后2、6周，3、12個(gè)月，CPM組和對照組患者的膝關(guān)節(jié)伸直角度差異無統(tǒng)計(jì)學(xué)意義。在術(shù)后12個(gè)月的Rasmussen膝關(guān)節(jié)功能評分方面，CPM組和對照組的差異無統(tǒng)計(jì)學(xué)意義。 結(jié)論 脛骨平臺骨折術(shù)后輔助CPM能早期提升膝關(guān)節(jié)屈曲角度，但并不能提高遠(yuǎn)期的膝關(guān)節(jié)活動度和最終的膝關(guān)節(jié)功能。
【Abstract】 Objective To compare the therapeutic effect of continuous passive motion (CPM) treatment after tibial plateau fractures operation. Methods From June 2008 to June 2009, 86 patients were treated due to closed tibial plateau fractures without combined injuries. The patients were treated with (27 patients, CPM group) and without (59 patients, control group) CPM. The wound healing rates, range of motion and the knee function were compared between the two groups. Results There was no significant difference between the two groups in wound healing rates (P=0.566). Two and six weeks after the operation, there were significant differences between the two groups in flexion degree (P lt;0.001); three and 12 months after the operation, there were no significant differences between the two groups (P=0.219, P=0.512). At the 2nd and 6th week, 3rd and 12th month postoperatively, there were no significant differences between the groups in extension degree. Twelve months after the operation, there were no significant differences between the groups in functional recovery of the knee. Conclusion CPM in the post-operative treatment of tibial plateau fractures is effective increasing knee flexion in the early stage, but is not effective increasing range of motion or knee function in a long term.
引用本文： 鄭金文,池雷霆,王小兵,劉顯東,徐強(qiáng),陳星宇. 脛骨平臺骨折術(shù)后輔助與不輔助持續(xù)被動運(yùn)動的療效比較. 華西醫(yī)學(xué), 2011, 26(1): 47-50. doi: 復(fù)制