Author/Authors :
LIU, S. China Rehabilitation Research Center - Beijing Charity Hospital - Department of Orthopedics and Rehabilitation, China , LIU, S. Capital Medical University - Rehabilitation College, china , KEMIN LIU, K. China Rehabilitation Research Center - Beijing Charity Hospital, China , KEMIN LIU, K. Capital Medical University - Rehabilitation College - Department of Orthopedics and Rehabilitation, china , WANG, A. China Rehabilitation Research Center - Beijing Charity Hospital, China , WANG, A. Capital Medical University - Rehabilitation College - Department of Orthopedics and Rehabilitation, china , CUI, Z. China Rehabilitation Research Center - Beijing Charity Hospital, China , CUI, Z. Capital Medical University - Rehabilitation College - Department of Orthopedics and Rehabilitation, china , HAN, X. China Rehabilitation Research Center - Beijing Charity Hospital, China , HAN, X. Capital Medical University - Rehabilitation College - Department of Orthopedics and Rehabilitation, china , WANG, F. China Rehabilitation Research Center - Beijing Charity Hospital, China , WANG, F. Capital Medical University - Rehabilitation College - Department of Orthopedics and Rehabilitation, china , LI, J. China Rehabilitation Research Center - Beijing Charity Hospital, China , LI, J. Capital Medical University - Rehabilitation College - Department of Orthopedics and Rehabilitation, china
Abstract :
Backgrounds and Objectives: This study aimed to retrospectively analyze the clinical data of 112 post-traumatic knee stiffness (PTKS) patients treated in our hospital from February 2004 to November 2010 and explore the treatment strategies for post-traumatic stiffness of the knee joint. The objective of the study was to investigate management strategies for post-traumatic knee stiffness. Methods: From February 2004 to November 2010, 112 patients with post-traumatic knee stiffness were treated in our department. Clinical data were studied retrospectively, and the differences of range of motion and Hospital for Special Surgery score of the knee before and after the treatment were also analyzed statistically. Results: Sixty – three patients were treated with rehabilitation, 24 patients were treated with arthro- scopy, and 25 were treated with a minimally invasive “hybrid technique” that included the lysis of intra- articular and extra-articular adhesion, the follow-up duration was 3 to 72 months, with a mean of 18.5 months. Average range of motion increased 55° in the rehabilitation group, 70º in the arthroscopy gro- up, and 75° in the hybrid technique group. Both range of motion and Hospital for Special Surgery scores of the knee before and after treatment for each group showed a statistically significant difference. Conclusion: Although the pathology of post-traumatic knee stiffness is complex, satisfactory results can be obtained using individualized treatment based on the course of the disease, the degree of extensor mechanism involved, physical examination, and ancillary results.
Keywords :
Post , traumatic , Knee joint , Stiffness , Treatment strategy
