Effect of early local cold compression therapy combined with rehabilitation exercises on local swelling and joint function recovery in patients with periarticular ankle fractures.
Yanan Zhao, Tiantian Wang, Yulin Liu, Li Zhu, Yuanyuan Liu
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引用次数: 0
Abstract
Objectives: To evaluate the effect of early local cold compression therapy combined with rehabilitation exercises on local swelling and joint function in patients with periarticular ankle fractures.
Methodology: This was a retrospective study. A total of 60 patients with periarticular ankle fractures admitted to Baoding No.1 Central Hospital between June 2023 to June 2024 were enrolled in this study. The participants were divided into an observation group and a control group. The control group received conventional treatment (including bed rest, limb elevation, and intravenous sodium aescinate per institutional protocol) and functional exercises. The observation group received additional early local cold compression therapy (ice-water mixture, 20 minute sessions every four hours for 72 hours post-admission and post-surgery). Ankle swelling, pain intensity, range of motion (ROM), and the American Orthopaedic Foot and Ankle Society (AOFAS) scores were compared between groups.
Results: Swelling and pain significantly decreased in both groups at all postoperative time points vs. baseline, with the observation group showing greater reductions(P< 0.05). Dorsiflexion, plantarflexion ROM, and AOFAS scores significantly increased in both groups, with the observation group showing greater improvement (P < 0.05).
Conclusion: Early local cold compression therapy combined with rehabilitation exercises can significantly alleviate ankle swelling and pain, improve ankle function as assessed by the AOFAS Ankle-Hindfoot Scale, and accelerate the recovery of ankle ROM in patients with periarticular ankle fractures.
期刊介绍：
It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad.
Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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