中药熏蒸结合运动练功治疗骨折术后膝关节僵硬1例

A Case of Postoperative Knee Stiffness after Bone Fracture Treated by Traditional Chinese Medicine Fumigation Combined with Exercise Practice

摘要: 膝关节作为人体最大且最为复杂的关节，承担着大量的活动量和人体的大部分重量。在膝关节遭受创伤后，手术以及长期制动等因素极易引发膝关节僵硬，其常见症状包括疼痛、关节活动受限以及功能障碍等。目前，创伤后膝关节僵硬在治疗方面尚无统一标准，故而探寻最佳治疗方案具有重要的临床意义。膝关节僵硬的主要病理基础为关节周围肌肉、韧带挛缩，以及关节内软组织纤维粘连。基于膝关节僵硬常呈现出关节周围气血运行不畅、不通则痛的病理特点，我院采用中药熏蒸配合运动练功的方法，以松解粘连、疏通经络，临床观察显示疗效显著。本文将对一例在跟师过程中治疗效果显著的股骨骨折术后膝关节僵硬案例进行详细报道。

Abstract: As the largest and most complex joint in the human body, the knee joint is responsible for a large amount of activity and most of the body’s weight. After knee trauma, surgery and prolonged braking will easily cause knee stiffness, and its common symptoms include pain, limited joint movement and dysfunction. Currently, there is no standardized treatment for post-traumatic knee stiffness, so it is clinically important to explore the best treatment options. The main pathological basis of knee stiffness is contracture of the periarticular muscles and ligaments, as well as intra-articular soft tissue fibrous adhesions. Based on the fact that knee joint stiffness often presents the pathological characteristics of poor qi and blood circulation around the joint, and pain is caused by no circulation, our hospital adopts the method of fumigation of traditional Chinese medicine together with the exercise practice of qigong, in order to loosen the adhesion and dredge the meridians and collaterals, and the clinical observation shows that the therapeutic effect is remarkable. In this paper, a case of postoperative knee stiffness after femur fracture with a remarkable therapeutic effect during the course of follow-up will be reported in detail.