干针治疗全膝关节置换术后关节纤维化的疗效--病例报告

Ajeet Mandal, Nidhi Tiwari, Dr. S. Senthil Kumar
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摘要

背景:膝关节置换术(TKR)是一种外科技术,用合成或人工关节替代无法手术的膝关节。TKR 的主要表现是不适和功能限制。对促炎性刺激的过度免疫反应会导致关节纤维化(AF),其特点是关节周围病理性纤维化和随之而来的症状,包括关节活动范围减小。术后纤维化(POF)是一种罕见的、局部的、不可逆转的手术延迟影响,已在多种组织和器官中报道过。在本研究中,我们采用干针疗法治疗全膝关节置换术后出现的关节纤维化:病例介绍:69 岁的女性患者曾接受全膝关节置换术,并患有关节纤维化。结论:干针疗法和物理疗法的效果非常明显:关键字:全膝关节置换术 关节纤维化 干针疗法 物理疗法 病例报告
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EFFICACY OF DRY NEEDLING IN POST TOTAL KNEE REPLACEMENT SURGERY WITH ARTHROFIBROSIS- CASE REPORT
Background: TKR is a surgical technique where a synthetic or artificial joint replaces an inoperative knee joint. The main manifestations of TKR are discomfort and functional constraints. For individuals to be evaluated a candidate for TKR, their everyday activities tend to be significantly impacted by pain and functional limitations .An excessive immune reaction to a pro-inflammatory stimulus causes arthrofibrosis (AF), which is characterised by pathological periarticular fibrosis and ensuing symptoms including reduced joint range of motion. A rare, localised, and irreversible delayed impact of surgery that has been reported in a variety of tissues and organs is called postoperative fibrosis (POF). In this study we use dry needling as an approach towards arthrofibrosis which develop after total knee arthroplasty. Case presentation: We presented the case of 69 year old female patient who had total knee arthroplasty and has fibrosis. Physiotherapy procedure was commenced along with dry needling. Conclusion: As a result the physiotherapy with dry needling aided patient in his recovery. KEY WORDS: Total Knee Replacement, Arthrofibrosis, Dry Needling, Physical Therapy, Case Report
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