The Clinical Study Of CPM Trainning Early After The Operation Of The Schatzker Ⅱ Type Tibial Plateau Fracture

Objective:By observing the result of the patients suffering from the SchatzkerⅡtype tibial plateau fracture who were treated by CPM passive functional exercise early after operation,evaluating the effect of CPM treatment and clinical advantages.The author wants to find a reasonable way to treat the patients early after operation of the tibial plateau fracture,thereby the knee's function can resume as soon as possible.Methods:This article reviewed the knowledge of tibial plateau fracture in both ancient literature and modern medical research systematically.Summarizing the etiology,pathology, medicine of FDR in TCM and treatment;suming up the anatomy,reason of injury,complications and so on.In this part,the author also systematically retrospected the diagnosis,classification and several treatment measures at home or abroad.In the part of clinical study,the author collected in hospital patients from 2007 to 2008.These 31 patients were divided into 2 groups. Treated group includes 16 patients,they were treated by the way of CPM passive functional exercise,while control group includes the other 15 patients,they were treated by active functional exercise.The author sets the 1,3,5,7,14 day and 1,2,3month after treated as observing time.At these times,the author observes the patients' recovery and scores the record by a given standard.After statistical analysis,the author evaluates the therapeutic efficacy of the replacement of Numeral head.Results:The clinical study results:In range area:At the 3,5,7,14 days,1,2 months after operation,treated groups were significantly better than control groups,(P＜0.01);at the 3 month after operation,treated group was better than control group,(P＜0.05).In strength area:At the 5,7days after operation,treated groups were significantly better than control groups,(P＜0.01); at the 14 days after operation,treated group was better than control group,(P＜0.05).In function areas:At the 3 month after operation,treated group was better than control group,(P＜0.05).In pain area:At the 3 day after operation,control group was significantly better than treated group, (P＜0.01);at the 5 day after operation,control group was better than treated group,(P＜0.05).In overall effect area:At the5,7,14days,1,2,3months after operation treated groups were better than control groups,(P＜0.05).Conclusion:The patients suffering from the SchatzkerⅡtype tibial plateau fracture who were treated by CPM passive functional exercise early after operation can make the knee joint recover in a short time.