目的 探讨肌肉能量技术对胫骨平台术后超早期康复的疗效。方法 回顾分析2020年—2021年间同济大学附属同济医院骨科收治的24例胫骨平台骨折手术患者资料,所有患者均进行切开复位钢板内固定手术,术后3~4 d后行康复功能锻炼,观察组（12例）以肌肉能量技术（MET）结合持续被动训练（CPM）,对照组（12例）单纯CPM训练进行治疗。住院治疗时间一般为7~10 d,比较两组患者治疗前后视觉模拟评分法（VAS）评分和美国特种外科医院膝关节评分（HSS评分）。结果 治疗后患者伤口愈合良好,术后复片固定位置好,身体状况稳定。两组患者治疗前VAS评分比较差异无统计学意义（P>0.05）,治疗后观察组VAS评分低于对照组,差异有统计学意义（P<0.05）。两组患者治疗前HSS评分比较差异无统计学意义（P>0.05）,治疗后观察组HSS评分高于对照组,差异有统计学意义（P<0.05）。结论 肌肉能量技术对胫骨平台骨折术后超早期功能恢复效果明显,能有效减轻术后疼痛和提高膝关节活动能力,加速康复的进程。

Objective To investigate the efficacy of muscle energy technology for ultra-early rehabilitation after surgery for tibial plateau fractures. Methods A retrospective analysis was conducted of the data of 24 patients undergoing tibial plateau fracture surgery in the Department of Orthopedics, Tongji Hospital Affiliated to Tongji University from 2020 to 2021. All patients underwent open reduction and internal fixation with steel plate, and functional rehabilitation exercise 3-4 d after surgery. The observation group （12 cases） was treated with muscle energy technique （MET） combined with continuous passive motion （CPM） training, and the control group （12 cases） was treated with CPM training alone. The length of hospitalization was generally 7-10 d. The VAS score and HSS knee score before and after treatment were compared between the two groups. Results After the treatment, the wounds of the patients in both groups healed well, the postoperative fixed position was good, and the physical condition was stable. There was no significant difference in VAS scores of the two groups before treatment （P>0.05）, and the observation group’s VAS score was lower than the control group’s after treatment （P<0.05）. There was no significant difference in HSS scores between the two groups before treatment （P>0.05）, while after treatment, the HSS score of the observation group was higher than that of the control group （P<0.05）. Conclusion MET has a significant effect on ultra-early functional recovery after tibial plateau fracture surgery, such as effectively reduced postoperative pain, improved knee mobility, and accelerated rehabilitation.