2024-03-28T21:56:30Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00020267
2022-12-15T03:51:04Z
453:456
471:537:538:1164
A Follow-up Study of Operative Treatment for Extension Contracture of the Knee Joint : with Special Reference to the Factors Influencing on the End Result
大腿骨及び膝周辺骨折に起因した膝拘縮に対する観血的授動術施行例の検討 : 特に術後成績に影響する因子について
大腿骨及び膝周辺骨折に起因した膝拘縮に対する観血的授動術施行例の検討 : 特に術後成績に影響する因子について
中村, 尚
125323
extension contracture of knee joint
operative treatment
end result
influencing factor
膝拘縮
手術療法
術後成績
影響因子
Fifty cases, 44 males and 6 females, who had a quadricepsplasty for extension contracture of the knee joints secondary to fracture of femur, patella and proximal tibia between 1955 and 1986 in Niigata University Hospital were identified in a retrospective study. Extension contracture occured in 35 cases (70 per cent) due to traffic accident. In the treatment of fracture, the knee joint was immobilized at least for two months in operative cases, and for three months in non-operative cases. In all cases, adhesion was found in both intra and extraarticular region. The range of motion of the knee joint was greater than 90 degree in 34 cases (68 per cent) and also greater in cases without elongation of rectus femoris muscle than in cases with it at the follow-up examination. The significant influencing factors on the range of motion at the follow-up were the age at operation, the preoperative range of motion and radiological findings of osteoarthritis and the range of motion obtained in operation. Early postoperative exercise with a continuous passive motion apparatus did not increase the range of motion at the follow-up more than that obtained in operation, but reached the range earlier.
departmental bulletin paper
新潟医学会
1993-03
application/pdf
新潟医学会雑誌
3
107
231
246
新潟医学会雑誌
AN00182415
00290440
https://niigata-u.repo.nii.ac.jp/record/20267/files/107(3)_231-246.pdf
jpn