The Clinical Observation On The Effect Of Cold Therapy For Promotiving Knee Functional Rehabilitation Of Tibial Plateau Fracture Postoperative

Objective:According to the laws of fracture healing, study of tibial plateau fracture surgery functional exercise to note a few key links, through clinical observation, of which the major technical indicators from the subjective and objective quantification, thereby confirming the cold therapy on postoperative joint function recovery role.Method:Take prospective randomized controlled double-blind trial research methods, through May 2006 to May 2010 among the 61 cases of surgical treatment of tibial plateau fracture cases, according to a simple random method, in accordance with the principle of divided into test group 1:1 and the control group, in which the treatment group (cold+CPM) 25 cases of the control group (CPM) 25 cases. (Two groups were hospitalized during the oral administration of chinese medicine, western medicine, drug varieties of the same dose). Treatment group:continuous cold with cold packs after the postoperative, every 6 hours to replace an ice pack, continuous ice for 4 days, with the postoperative rehabilitation exercises. Control group:the same content that is functional training, specific time and treatment programs with the treatment group, but not cold. Observed after rehabilitation treatment in patients with functional recovery following the change to main outcome measures inspection, and complete record of the items. In turn the main and secondary indicators for inspection. Composite indicators to carry out statistical analysis, to arrive at a statistically significant data. Comprehensive derivation of analysis and conclusion. Results:1,2 weeks after surgery, the treatment group with the cold compress, the more severe inflammatory reaction, effusion control pain, reduce swelling, fever, decrease in the number of days, the recovery of knee function call such as better treatment alone (P<0.05). Note cold compress for the promotion of functional recovery after effects. Exercise can reduce the pain caused to patients.2,30 patients treated during the entire treatment of allergy was not found significant effects, in patients with localized skin rash, blisters, pain or itching Jing, indicating cold compress on the skin irritation small, easy to produce allergic reactions, its clinical application is safe and reliableConclusion:1,Postoperative tibial plateau fracture cold compress therapy, reduce the local inflammatory response after trauma and surgery, and shorten the reaction process, thus alleviating the pain caused by postoperative.2,Cold therapy combined with functional exercises to promote the recovery of joint function by the fracture extent, and severity of injury and surgery the pros and cons into relevance.3,Cold therapy is simple and feasible in clinical practice is an effective means of functional rehabilitation.4,Use of ice packs in the actual operation of a simple, convenient, and is conducive to promoting the use of the hospital at the grassroots level.