Postoperative fractures around the knee rehabilitation nursing.doc

 PAGE \* MERGEFORMAT 4 Postoperative fractures around the knee rehabilitation nursing Author: Di Yunfeng Zhu Ling-Jun Mo Hai [Keywords:] knee fracture of rehabilitation nursing Fractures around the knee include the distal femur and proximal tibial fractures, mostly caused by high-energy violence, surgical treatment more difficult, high morbidity, and in recent years, the incidence of the rise. Knee joint after fracture of adhesion is its frequent complications, mainly due to the early failure to exercise reasonable function, often leading to limb function is limited or need secondary surgical treatment of joint loosening. The authors concluded from August 2004 to February 2007 62 cases of fractures around the knee after the efficacy and care, the report is as follows. A clinical data 1.1 General Information 62 patients were male and in 33 cases, female 29 cases; aged 19 to 68 years old, with an average of 41 years. Of which 14 cases of supracondylar femoral fractures, femoral condyle in 9 cases, 21 cases of patella, tibial plateau 18 cases. Between injury and surgery time for 1 ~ 13d. This group of patients underwent internal fixation. One femoral supracondylar and intercondylar fractures using anatomical plate, retrograde locked intramedullary nail or plate made; patella fractures with tension band fixation; tibia bone Plateau fracture with anatomic locking plate or a plate made. Application of continuous epidural anesthesia, postoperative analgesia pump retention 48h pain. 1.2 Methods (1) Psychological education: to enable patients and their families recognize the importance of early rehabilitation exercises before surgery that is to enable patients to understand the principles and methods of rehabilitation do a good job of interpretation pre-treatment to eliminate functional exercise may lead to fracture displacement or concerns about delayed healing and enhance the confidence to overcome the disease and actively cooperate with the treatment. To f