摘要
目的分析系统化足踝锻炼器锻炼对胫骨pilon骨折患者术后踝关节功能的影响。方法回顾性研究2018年5月至2020年1月南华大学附属南华医院收治的84例胫骨pilon骨折患者资料。所有患者均实施切开复位内固定治疗,按照康复方法不同分为对照组(术后分阶段开展康复功能训练,n=42)和研究组(开展系统化足踝锻炼器锻炼,n=42)。对照组:男26例,女16例;年龄(36.6±4.8)岁(20~55岁)。研究组男27例,女15例;年龄(36.4±4.5)岁(21~57岁)。比较两组患者术后恢复情况、踝关节功能恢复优良率、术后生活质量评分、并发症的发生率。结果两组患者术前一般资料比较差异均无统计学意义(P>0.05),具有可比性。研究组术后首次下床时间(3.7±0.3)周、骨折愈合时间(9.1±0.8)周、完全负重时间(6.5±0.9)周均短于对照组[(4.1±0.5)、(10.9±1.2)、(7.2±1.1)周],研究组踝关节功能恢复优良率92.9%(39/42)高于对照组的73.8%(31/42)。研究组术后物质、心理、社会、躯体等生活质量各维度评分均高于对照组,研究组术后并发症发生率2.4%(1/42)低于对照组10.9%(8/42),以上比较差异均有统计学意义(P<0.05)。结论相同术式下对胫骨pilon骨折患者开展系统化足踝锻炼器锻炼,可促进患者踝关节功能恢复并提升生活质量,且同步降低术后并发症发生的风险。
Objective To analyze the effect of systematic exercise with a self-designed foot-ankle exerciser on postoperative ankle function in patients with tibial pilon fracture.Methods A retrospective study was conducted of the 84 patients with tibial pilon fracture who had been treated by open reduction and internal fixation at Nanhua Hospital Affiliated to Nanhua University from May 2018 to January 2020.According to the difference in rehabilitation,they were divided into a control group(n=42)which were subjected to staged functional rehabilitation after operation and an observation group(n=42)which was subjected to systematic exercise with a self-designed foot-ankle exerciser.In the control group there was 26 males and 16 females with an age of(36.6±4.8)years(from 20 to 55 years);in the observational group there were 27 males and 15 females with an age of(36.4±4.5)years(from 21 to 57 years).The 2 groups were compared in terms of postoperative recovery,ankle functional recovery,postoperative quality of life,and rate of complications.Results The 2 groups were comparable due to the insignificant differences in their preoperative general data(P>0.05).The time for first ambulation[(3.7±0.3)weeks],time for fracture union[(9.1±0.8)weeks],and time for full-weight bearing[(6.5±0.9)weeks]in the observational group were all significantly shorter than those in the control group[(4.1±0.5)weeks,(10.9±1.2)weeks and(7.2±1.1)weeks](P<0.05).The good to excellent rate of ankle functional recovery was 92.9%(39/42)for the observational group,significantly higher than that for the control group(73.8%,31/42)(P<0.05).The scores for postoperative quality of life in the observational group were significantly higher than those in the control group in dimensions of material,psychology,society and body(P<0.05).The rate of total postoperative complications in the observational group was 2.4%(1/42),significantly lower than that in the control group(10.9%,8/42)(P<0.05).Conclusions For patients with tibial pilon fracture undergoing the same surgical procedures,systematic exercise with our self-designed foot-ankle exerciser can promote functional recovery of the ankle joint,improve postoperative quality of life,and reduce incidence of postoperative complications.
作者
陈莉
叶祖峰
刘亮
张莉
黄丽春
杨华
赵望
刘伟
Chen Li;Ye Zufeng;Liu Liang;Zhang Li;Huang Lichun;Yang Hua;Zhao Wang;Liu Wei(Nanhua Hospital Affiliated to Nanhua University,Hengyang 421000,Hunan,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2021年第7期636-640,共5页
Chinese Journal of Orthopaedic Trauma
基金
湖南省科技厅临床医疗技术创新引导项目(2020SK51902)。
关键词
足
踝
生活质量
踝关节功能
锻炼器
Foot
Ankle
Quality of life
Ankle joint function
Exerciser
