Use of Foot Correction Exerciser for Rehabilitation Following External Fixation in High-Energy Pilon Fracture.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-07-19
Na Lu, Xiaolong Mei, Tao Zhang, Xiaolong Mei
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引用次数: 0

Abstract

Objective: Our aim was to study the clinical effect of a foot correction exerciser used for postoperative rehabilitation in external fixation in high-energy Pilon fracture.

Methods: From March 2017 to November 2019, 43 patients with AO/OTA type C closed Pilon fractures treated with external fixation were retrospectively analyzed. A total of 23 patients were rehabilitated by foot correction exerciser (1 patient fell off the study), and 20 patients were treated by conventional rehabilitation (2 patients fell off the study). During postoperative hospitalization and regular follow-up after discharge, various indicators were recorded for statistical comparison and evaluation through angle measurement, imaging and questionnaire surveys.

Results: There was no significant difference in postoperative complications in the 2 groups (P > .05). The fracture healing time and stent wearing time in the study group were shorter than in the control group, and the comfort score and functional exercise compliance were higher in the study group than in the control group. The ankle joint mobility was higher in the study group than in the control group at all time points in the first 6 months, and the excellent and good rate of ankle joint function was higher than in the control group, with statistical significance (P < .05).

Conclusion: Use of the orthopedic exerciser in the high-energy Pilon fracture external fixation postoperative rehabilitation process and the early introduction of resistance training can reduce pain and soft tissue edema and improve the degree of patient comfort and exercise compliance, accurately measure the force load of the limbs, contribute to the dataization and standardization of rehabilitation exercise programs, accelerate the recovery of joint mobility and improve long-term limb function.

在高能量腓骨外固定术后使用足部矫正训练器进行康复训练
目的我们的目的是研究高能量 Pilon 骨折外固定术后康复中使用足部矫正锻炼器的临床效果:2017年3月至2019年11月,我们对43例接受外固定治疗的AO/OTA C型闭合性Pilon骨折患者进行了回顾性分析。共有23名患者接受了足部矫正锻炼器康复治疗(1名患者退出研究),20名患者接受了常规康复治疗(2名患者退出研究)。在术后住院期间和出院后的定期随访中,通过角度测量、影像学检查和问卷调查等方式记录各项指标,进行统计比较和评估:结果:两组患者术后并发症无明显差异(P>0.05)。研究组的骨折愈合时间和支架佩戴时间短于对照组,研究组的舒适度评分和功能锻炼依从性高于对照组。在前 6 个月的所有时间点上,研究组的踝关节活动度均高于对照组,踝关节功能的优、良率高于对照组,差异有统计学意义(P < .05):在高能量 Pilon 骨折外固定术后康复过程中使用矫形器并早期引入抗阻训练,可减轻疼痛和软组织水肿,提高患者的舒适度和运动依从性,准确测量肢体的力负荷,有助于康复锻炼方案的数据化和标准化,加快关节活动度的恢复,改善肢体的远期功能。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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