矫形器在肘关节僵直中的应用.pptxVIP

矫形器在创伤后肘关节功能障碍康复中的应用;肘关节易于在创伤或手术后发生僵直粘连;A stiff, arthrofibrotic elbow is a very difficult problem for the orthopedic surgeon and physical therapist to handle. ;概 述 ;;治疗方法;配合矫形器的康复治疗;;;;;矫形器治疗的特点 ;What is a normal range of motion?;ROM required for activities of daily living;the range of knee motion required for activities of daily living ;Pandect;Etiology;Knee Anatomy;primary causes;病 因 好发年龄;Factors;Key areas affected include the region behind the patellar tendon below the kneecap, the region under the muscle belly just above the kneecap and the region in the recess at the back of the knee. ;Pathology;The Four Stages of Stiffness;Histologic Study of Adhesions;;;symtoms and signs;诊断与鉴别诊断 2;Grading system ;Prevention Treatment;Prevention;The traditional treatment approach ;CPM ;诊断与鉴别诊断 1;The goal of treatment;Non-operative measures ;;Stretching devices;surgical treatment;surgical indications;Arthroscopy;;;No matter how meticulous and thorough a scar tissue resection may be, and even if a full range of knee motion is successfully restored on the operating room table, the biggest challenge is maintaining that range of motion after surgery. ;Patient Physical Therapy Program ;;cryotherapy： Immediate cryotherapy with ice-packs was started in the recovery room　 isometric exercises and active knee flexion were initiated as soon as possible after anaesthesia ;Post operative pain relief;Case Report