“动静平衡”原则在股骨颈骨折闭合复位空心钉内固定术后功能锻炼中应用.doc

The Balance of Motion and Quiescence in the Function Rehabilitation After Femoral Neck Fractures Close Reduction and Internal Fixation by Compressive Screw Speciality: Orthopedics of chinese medicine Author: Liu Yanqun Tutor: Prof. Zhang Junzhong Abstract Objective: Explore the function of the principle of the balance of motion and quiescence in the rehabilitation excise after femoral neck fractures close reduction and internal fixation by compressive screw based on clinical research. Methods: Divide 69 patients after the operational treatment on the close reduction and internal fixation by compressive screw to 3 groups. Guide A and B groups to excise their hip joint in different rehabilitation quantity which includes excising time, strength and times. C group’s excise is guided by AO early stage non-pain principle. The thesis compares the rehabilitation influences on hip joint and postoperative complications, and analyses the results with statistic methods. Results: The effect of groups A and B which are guided under the principle of the balance of motion and quiescence is better than group C. There is no significant difference between group A and B. Conclusion: Rehabilitation excise for the hip joint and the reduction of postoperative complications after femoral neck fractures close reduction and internal fixation by compressive screw under the guidance of the principle of the balance of motion and quiescence is practical and has advantages. Key words: balance of motion and quiescence; femoral neck fractures; close reduction and internal fixation by compressive screw; rehabilitation excise 2 目  录 引  言 ............................................................... 2 临床研究 ............................................................... 3 一、病例选择 ........................................................... 3 （一）诊断标准及分型标准 ............................................... 3 （二）病例纳入标准 ..................................................... 3 （三）排除病例标准 .....................