物理治疗方法在双边横交叉骨头骨折与双边肌肉骨复合骨折:一个案例报告
Neha M Chitlange1, Tejaswini Fating1
1Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|March 28, 2024
概括
这项案例研究突出了严重的面部骨折的成功治疗方法,包括下和带骨复合骨折,这些骨折是道路交通事故造成的. 通过手术干预和物理治疗,患者获得了良好的结果.
科学领域:
- 口腔和牙面部外科手术
- 创伤外科 手术 创伤外科
- 重建性手术是一种重建性手术.
背景情况:
- 骨骨折,特别是在副位区域,经常发生在骨骨复合体 (ZMC) 骨折.
- 这些综合性损伤带来了复杂的临床挑战,需要多学科的管理.
- 面部创伤,特别是道路交通事故造成的,需要及时和全面的护理.
研究的目的:
- 介绍一个患者的病例研究,双边的寄生体和双边的ZMC骨折.
- 详细介绍复杂的面部创伤的手术和保守管理.
- 评估结构化物理治疗方案在术后康复中的有效性.
主要方法:
- 通过骨科透视图 (orthopantomogram) 进行诊断,发现双边副和ZMC骨折.
- 手术管理包括对寄生体和ZMC支柱骨折的开放式缩减和内部固定 (ORIF),以及对骨弧骨折的封闭式缩减.
- 手术后的物理治疗侧重于四周的肌肉力量,运动范围,疼痛和水管理.
主要成果:
- 成功地手术修复了双边副和右侧ZMC骨折.
- 手术后进行了大间固定.
- 该患者对为期四周的物理治疗康复计划表现出了良好的反应.
结论:
- 结合下骨和ZMC骨折需要一个协作性的手术和康复方法.
- 及时的手术干预,然后是有针对性的物理治疗,可以带来积极的患者结果.
- 这一案例强调了全面护理在治疗严重面部创伤方面的重要性.
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