Knee distraction device correction of knee flexion contracture deformity of the evaluation of.docVIP

 PAGE \* MERGEFORMAT 12 Knee distraction device correction of knee flexion contracture deformity of the evaluation of Author: Chien-Wen Chen, Qin Si River, Jiao Shao-feng, ZHENG Xue-Jian Abstract [Objective] right knee distraction device correction of knee flexion contracture deformity and biomechanical evaluation outcomes research, demonstration of the technology, safety, clinical efficacy and treatment characteristics. [Method] 49 patients (52 knees), application of a standard drafting the treatment, using a comprehensive evaluation criteria to evaluate the clinical outcome; 5 cases of three-dimensional CT reconstruction of the knee before and after treatment to observe the joint structural changes; 15 patients before and after treatment popliteal artery diameter, blood flow, and six cases of calf EMG, nerve conduction, in order to observe the drawing of the popliteal artery and limb nerves affected; to 3 patients were of 3 different types of drafting and testing methods, the initial observation of different The drafting process of knee flexion angle and force changes in soft tissue. [Results] 52 knee function were restored, the ultimate good rate was 65%; 5 cases of CT three-dimensional reconstruction shows the structure than that of preoperative knee reasonable and non-articular surface damage. Results showed that the process of drawing on the popliteal artery had no significant effect, may be temporarily affected leg nerves; 3 patients with 3 different types of drafting and testing methods, the final results were different, indicating the force of the soft tissue and stretch methods, patient age and the degree of flexion deformity. [Conclusion] The treatment method is safe, reasonable, and effective; knee soft tissue force is affected by many factors, so the speed drawing should be individualized, low-load uniform force may be more conducive to soft tissue regeneration, is relatively more secure. Keywords: Knee distraction device;