A prospective multicenter study on the rehabilitation patterns for post-surgery patients with knee fractures
LI Tao
ZHOU Mou-wang
HOU Shu-xun
WU Xin-bao
TIAN Yun
LA Gao-yan
LI Ling
TANG Jin-shu
ZHU Jia-liang
GUO Xian-feng
L Yan-wei
LI Chun-de
WANG Ning-hua
XIE Yu-xiao
LIN Peng
LI Zhong-shi
HAI Yong
ZHAO Hui
XUE Qing-yun
GU Xin
MA Hua-song
LU Ming
MA Yuan-zheng
LI Da-wei
Abstract：Objective To evaluate the outcomes of different rehabilitation patterns for patients who have undergone a surgery after the knee fracture, and to put forward a suitable rehabilitation pattern for post-surgery patients with knee fractures. Methods A total of 279 cases who received knee surgery after the fracture in 9 hospitals in Beijing were divided into two groups: ( 1 ) the control group: received routine orthopedic rehabilitation; ( 2 ) the observation group: received post-surgery rehabilitation in team approach. Visual analogue scale ( VAS ) and range of motion ( ROM ) were assessed 5 days, 12 weeks and 24 weeks after the surgery. The hospital for special surgery score ( HSS )and Berg balance scale were assessed 12 weeks and 24 weeks after the surgery.Results There were no signiifcant differences in VAS [ the observation group at 3 - 5 days, 12 weeks and 24 weeks after the surgery were ( 4.35 ± 3.17 ), ( 1.07 ± 1.17 ) and ( 0.45 ± 0.78 ); the control group at 3 - 5 days, 12 weeks and 24 weeks after the surgery were ( 4.05 ± 2.03 ), ( 1.35 ± 1.44 ) and ( 0.58 ± 0.99 ) ] and Berg balance scale [ the observation group at 12 weeks and 24 weeks after the surgery were ( 46.62 ± 9.08 ) and ( 53.78 ± 4.90 ); the control group at 12 weeks and 24 weeks after surgery were ( 43.27 ± 12.35 ) and ( 52.44 ± 6.40 ) ] between the two groups (P > 0.05 ). The observation group showed better lfexion ROM at 5 days [ the observation group ( 45.16 ± 32.33 ) °, the control group ( 30.36 ± 32.15 ) ° ] and 12 weeks [ the observation group ( 115.23 ± 18.07 ) °, the control group ( 109.71 ± 25.31 ) ° ] after the surgery (P= 0.006,P= 0.041 ), and no statistical signiifcance existed 24 weeks postoperatively. The knee extension ROM in the observation group at 5 days, 12 weeks and 24 weeks were ( 1.50 ± 4.67 ) °, ( 2.01 ± 4.34 ) °, and ( 1.06 ± 3.64 ) °, while ( 1.50 ± 4.67 ) °, ( 2.01 ± 4.34 ) °, and ( 1.06 ± 3.64 ) ° in the control group without statistical signiifcance (P > 0.05 ). The HSS in the observation group at 12 weeks and 24 weeks were ( 73.52 ± 14.46 ) points and ( 91.35 ± 9.94 ) points, while ( 71.14 ± 14.15 ) points and ( 90.11 ± 10.24 ) points in the control group without statistical significance (P > 0.05 ). HSS ( function ) in the observation group at 12 weeks ( 16.12 ± 5.26 ) points was better than the control group ( 13.88 ± 5.40 ) points after the surgery (P = 0.003 ).Conclusions The rehabilitation in team approach improves knee functions better than common orthopedic rehabilitation. It is suitable for early post-surgery rehabilitation after the knee fracture.
Keywords：KneeFracturesboneRehabilitationTreatment outcomeMulticenter studyProspective studies
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 199-204 )