Postoperative fracture should begin to train on the bed at once

Postoperative fracture should begin to train on the bed at once
PLA the intersection of general hospital and first affiliated hospital the intersection of dept. of orthopedics and function recover Tang JinShu this year 61 -year-old Mr. Chen, director of training centre, one section of fractures under the femur above the knee joint of right in the middle of a traffic accident of 1984, after the local hospital of Shandong has done the operation, it can't be bent but his right knee joint becomes stiff. Take out the fixed stencil plate one year later, the knee joint still can't be bent. Over the past 25 years, Mr. Chen can't squating and seating, upper and lower bus very difficult, ride a bicycle can only a leg is exerted oneself. Spiritual agony that the stiff knee joint has brought to him greatly and inconvenience in life of working. Fracture as Mr. Chen does, cause stiff patient of joint more on clinic to see, also one of fracture patient's postoperative common complications. Very thorny that the postoperative fracture patient presents the joint stiffly and the function obstacle is dealt with, it avoids such postoperative first-selected methods of complication to be to must begin, recover, train by function of the system as soon as possible while being postoperative. Besides special circumstances, should carry on muscular strength and the intersection of joint and the intersection of activity and one degree of training gradually under the guidance of doctor while being postoperative while being fixed in the fracture, resume joint flex degree as soon as possible, can cooperate with physical treatment come, promote, repair and relieve pain damaging positioning, accelerate the recovery of limbs and the joint function. The main point of recovering and training in function: First, sit on the bed, it is stretched, is put on the knee joint with a sand bag about 3 kilograms that the right knee is flat. Two times a day, it takes 20 minutes each time, mainly train the knee joint to spread the function. Second, sit on the bed, the right knee is crooked, embrace the right shank to pull back with both hands. Two times a day, it takes 20 minutes each time, mainly train the bucking function of the knee joint. Third, sit by the bed or on the chair, the thigh does not need strength, the foot is stretched, the shank colludes backward. Two times a day, 20 times, mainly carry on strength training each time. If one return to normal or close to normal joint, flex degree yet month behind the operation, should seek, recover the therapist's help by speciality. Some patients thought by mistake that recovering and training in early days is the activity of going to the fields early, fracture the intersection of patient and postoperative early function, recover, temper with going to the fields, shouldering heavy work it moves to be two different concept totally in early days while being postoperative in fact. Having made in stencil plate,etc. fixedly behind some patient fractures, the doctor does not allow the patient to go to the fields too early weighted for a fixed period of time, but this does not influence patients to carry on the early joint function and recover and train on the bed, this kind shoulder a heavy task activity under degrees of training stiff to have very much obvious results for prevent postoperative joint. The opportunity of training that if miss the early function and recover, may present the joint adhesion, then the one that present ligament and joint capsule near the joint is abbreviatory, even amyotrophy and tendon are abbreviatory. If this kind of situation appears, must rely on the operation to loosen and postoperative continuation to recover and train to resume the function. (Zhang Xian cherishes and puts in order)

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