早期负重锻炼对后Pilon骨折术后愈合及踝关节功能影响
Effect of Early Weight-Bearing Exercise on Posterior Pilon Fracture Healing and Ankle Function
DOI: 10.12677/ACM.2020.108280, PDF,  被引量   
作者: 李路雪*, 裴梦鸽, 彭 玲：滨州医学院康复医学院，山东 烟台；王德强, 于 慧：滨州医学院滨州附属医院，山东 滨州；孙雪华#：滨州医学院烟台附属医院，山东 烟台
关键词: 后Pilon骨折；早期负重；康复；Posterior Pilon Fracture； Early Weight Bearing； Recovery
摘要: 目的：研究早期负重锻炼对后Pilon骨折术后踝关节功能恢复和骨折愈合的影响。方法：选取2016年7月至2019年7月我院接受手术治疗的46例后Pilon骨折患者，随机分成早期负重组和常规负重组，常规负重组(23例)采用术后石膏固定行常规康复锻炼，早期负重组(23例)行早期负重锻炼，比较两组患者踝关节运动功能评分(AOFAS)、踝关节周径差、骨折愈合时间和并发症发生率。结果：两组患者在术后1年和末次随访踝关节运动功能评分、术后24 h和术后1周踝关节周径差、术后并发症均无统计学差异(P > 0.05)；而早期负重组术后2周、6周、3月和6月踝关节功能评分，术后2周和6周踝关节周径差，骨折愈合时间都较常规负重组优，具有统计学意义(P < 0.05)。结论：早期负重锻炼在后Pilon骨折术后患者中的应用效果十分显著，能够促进患者踝关节功能恢复和促进骨折愈合。
Abstract: Objective: To investigate the effect of early weight-bearing exercise on ankle function recovery and fracture healing after posterior Pilon fracture. Methods: A selection of 46 patients with posterior Pilon fractures who underwent surgical treatment in our hospital from July 2016 to July 2019 were randomly divided into early negative regroups and conventional negative regroups. Conventional negative regroups (23 cases) received postoperative plaster fixation for routine rehabilitation exercises. Early weight-bearing exercises (23 cases) were performed in early weight-bearing exercises, and the ankle motor function score (AOFAS), ankle circumference difference, fracture healing time, and complication rate were compared between the two groups. Results: There was no significant difference in postoperative complications between the two groups after 1 year and the last follow-up ankle motor function score 24 h after operation and 1 week after operation (P > 0.05). However, ankle function scores at 2 weeks, 6 weeks, 3 months and 6 months after early negative recombination, ankle diameter difference at 2 weeks and 6 weeks after early negative recombination, and fracture healing time were all better than conventional negative recombination, with statistical significance (P < 0.05). Conclusion: Early weight-bearing exercise has a significant effect on Posterior Pilon fracture surgery, which can promote ankle functional recovery and fracture healing in patients.
文章引用：李路雪, 裴梦鸽, 彭玲, 王德强, 于慧, 孙雪华. 早期负重锻炼对后Pilon骨折术后愈合及踝关节功能影响[J]. 临床医学进展, 2020, 10(8): 1862-1867. https://doi.org/10.12677/ACM.2020.108280

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