Case sharing

On June 5438+1October 65438+May, 2020, a patient (Aaron) came to Sperne. If you don't watch him walk hard, you will be in your early 30 s by visual inspection.

It turned out that in the turbulent year of 2020, an unexpected trouble fell on his head. Aaron was knocked unconscious by a car while walking and was taken to ICU. Five months after spinal cord injury caused paralysis, he still needs help to walk. ...

Dating back to the car accident in April, his spine fracture caused paralysis of both lower limbs. Fortunately, he recovered well after the operation, and he could stand up slowly. However, in the course of postoperative rehabilitation, patella fracture of the left knee was found and fixed with external support 1 month. Active activity began in May, and severe knee flexion limitation of 0-45 degrees appeared, that is, the legs stopped bending.

It is suspected that the muscle tone is too high after spinal cord injury, and injection of botulinum toxin in the other hospital is ineffective.

Subsequently, the patient was hospitalized again under general anesthesia for arthroscopic knee adhesion release, and the angle recovered to 90 degrees after active release during the operation.

The purpose of treatment in Spine Sperne is clear, he can squat down and talk to his son.

Before the first treatment, we asked Aaron, "What is your goal of recovery?"

He said, "You can squat down."

We asked inexplicably, "Why do you ask this?"

He said, "Because I want to squat down and talk to my son, who is still very young."

After several months of treatment, Aaron limped into the clinic from needing help, with a flexion angle of only 90 degrees, and now he can walk, run and jump normally.

Conditions:

Spinal injury leads to abnormal muscle tension, patellar fracture, patellar tendon contracture, muscle atrophy, and long-term immobilization (plaster cast during treatment, passive immobilization), which leads to serious limitation of joint mobility.

Many treatments have been tried before, but the improvement of functional limitation is still not obvious. Patients not only experienced the terrible and nervous shadow of broken leg when they recovered in hospital, but also recovered for a long time with poor effect and would rebound after treatment.

Multidisciplinary diagnosis and treatment of MDT;

Through the diagnosis and treatment of multidisciplinary experts such as rehabilitation, sports medicine and Chinese medicine. We can consider problems more comprehensively, patients or their families complain, experts from various disciplines watch films, consult medical records, give opinions on diagnosis and treatment, and make personalized plans for patients to help them recover as soon as possible.

Indicator evaluation:

The range of motion of the left knee joint is 66, the thigh circumference is 6cm smaller than that of the side, the swelling circumference is 3cm larger than that of the side, and the pain index is 7/ 10.

Functional evaluation:

Walking is painful and unstable, and the knee hurts when it bends. You can't go up and down stairs, you can't sit in the toilet, and you can squat down to go to the toilet.

Treatment plan:

In the first stage, anti-inflammation, joint loosening and muscle elasticity enhancement are the main methods;

In the second stage, Spine-NB painless rehabilitation technique was used to effectively solve the problem of knee flexion limitation;

The third stage, joint comprehensive ability training period, remodeling joint proprioception. ...

Results:

The joint angle increased to 142 degrees, the range of motion of the left knee joint was from 66- 142, the thigh circumference was only smaller than that of the contralateral side 1cm, the swelling was eliminated, and the pain index was 2/ 10.

Now you can not only squat as you like, but also drive your son to school, exercise with your wife by bike ... and return to the way before the accident.

More thankfully, this disaster not only did not defeat him, but gave him courage. He said that although the car accident made me go through a long and painful time, I was very happy to meet Sperne and all the doctors and therapists who helped me in Sperne. You cheered me up and found the meaning of life. Now I can finally return to my normal life. Thank you for making me healthy and happy again!