手部骨折后康复本文档（After fracture of hand, recover this document）.docVIP

手部骨折后康复本文档（After fracture of hand, recover this document） After fracture of the hand, recovery The principle of rehabilitation of hand bone joint injury is the same as that of other parts of the body, namely: accurate reduction, effective fixation and reasonable functional exercise. Rehabilitation therapy is generally divided into two stages: the fixed period after the fracture and the clinical healing period of the fracture (i.e. early and late). The fixed time of fracture was different due to different damage location and degree. Prolonged fixation and persistent edema are the main causes of joint stiffness. Therefore, early rehabilitation focuses on controlling edema and promoting the smooth healing of fracture. It is necessary to check whether the gypsum splint is fit and suitable to prevent the complications of gypsum. Elevate the limb, reduce edema. For stability fractures, active activity can be initiated once the swelling and pain relief (usually 5 to 7 days after the injury). Unstable fracture and compound fracture dislocation should be fixed for 3 weeks after the active exercise. The aim of rehabilitation is completely different from the early stage, and the treatment focuses on the elimination of the remaining swelling. To soften the fibrous scar tissue; To increase the ROM of the joint. Restoring normal muscle strength and endurance; Restore hand function coordination and flexibility. Metacarpal fracture A fracture of the base of the thumb and metacarpal bone Points of rehabilitation 1) fixed period: injured hand, middle, ring, small finger passive, active movement. At the beginning, it was mainly passive, with a healthy hand to assist in the flexion movement of the interphalangeal joint. When the local pain disappears, active activities are given priority. Three times a day, the activity time is appropriate for local mild fatigue. 2) after the fracture has healed, it will be practiced in the outside of the thumb, in the inside, in the palm and in the fl