| 柯泽楷,卢文灿,林海涛,等.骨水泥囊袋技术治疗弥漫性特发性骨肥厚症合并胸椎过伸牵张型骨折一例.骨科,2025,16(6): 551-553. |
| 骨水泥囊袋技术治疗弥漫性特发性骨肥厚症合并胸椎过伸牵张型骨折一例 |
| Clinical efficacy of transcutaneous electrical nerve stimulation combined with conventional rehabilitation methods in the treatment of postoperative patients with periknee fractures |
| 投稿时间：2025-05-07 |
| DOI：10.3969/j.issn.1674-8573.2025.06.013 |
| 中文关键词: 骨水泥囊袋技术 弥漫性特发性骨肥厚症 胸椎过伸牵张型骨折 |
| 英文关键词: Transcutaneous electrical nerve stimulation Conventional rehabilitation Periknee fractures Muscle strength Gait Rehabilitation treatment |
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| 中文摘要: |
| 本文报告一例82岁女性弥漫性特发性骨肥厚症（DISH）合并T10椎体过伸牵张型骨折。病人骨质疏松合并房颤及高血压，轻微外伤后出现剧烈腰痛。因高龄及麻醉耐受性差，采用局部麻醉下骨水泥囊袋技术微创治疗，并联合特立帕肽抗骨质疏松治疗。术后疼痛显著缓解，CT随访6个月示椎体新骨形成及初步骨性融合。该病例提示：骨水泥囊袋技术可为高龄DISH病人过伸型骨折提供一种安全、有效的微创替代方案。 |
| 英文摘要: |
| Objective To explore the effect of transcutaneous electrical nerve stimulation (TENS) combined with conventional rehabilitation methods on muscle strength and gait in patients after periknee fracture surgery. Methods A retrospective study was conducted on the clinical data of 80 postoperative patients with periknee fractures admitted to our hospital from March 2021 to March 2024. According to different postoperative rehabilitation methods, the patients were divided into the control group (conventional rehabilitation method, 40 cases) and the observation group (TENS combined with conventional rehabilitation method, 40 cases). The knee joint function, pain, muscle strength, and gait in the two groups were observed after the operation. Results After intervention, the total clinical effective rate of the observation group was higher than that of the control group (92.50% vs. 70.00%, P=0.020). At 3rd and 6th week of intervention, the observation group had lower visual analogue scale (VAS) scores, stronger extensor and flexor muscle strength, faster walking cycles, and the stride length of the affected limb and the swing range of the knee joint were greater than those of the control group (all P＜0.05). There was no statistically significant difference in the proportion of the supporting phase time on the affected side between the two groups (P＞0.05). At 6th week of intervention, the Hospital for Special Surgery Knee Score (HSS-KS) in the observation group was higher than that in the control group (80.22±11.78 vs. 72.55±10.21, P＜0.05). Conclusion The clinical efficacy of TENS combined with conventional rehabilitation methods in treating patients with periknee fractures after surgery is confirmed. It can effectively alleviate pain, enhance muscle strength, improve gait, and contribute to the recovery of knee joint function. |
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