Clinical Research Of The Treatment With Cold Compress And Wax Therapy Combination Promote The Joint Functional Rehabilitation In Aged Patients With Intertrochanteric Fracture After Operation

Objective:To compare and analyze the influence of using the early cold compress and wax therapy to go with Continuous Passive Motion on the Joint functional rehabilitation in aged patients with intertrochanteric fracture after operation. To confirm the effect of the Joint functional rehabilitation in aged patients with fracture after operation by using the early cold compress and wax therapy to go with Continuous Passive Motion. And extremely approach the better methods of the Joint functional rehabilitation in aged patients with intertrochanteric fracture after operation.Methods:According to the selection criteria,23 cases of Senile intertrochanteric fractures, who plan to treat with PFNA(proximal femoral nail anti-rotation) in September 2010 to April 2011 from The Department of Orthopaedics, Integrated Traditional and Western Medicine Hospital, were randomly divided into three groups:In earlier period they were treated with the cold compress,the wax therapy and the CPM exercise. Group A (the cold compress,the wax therapy and the CPM exercise together), Group B(the cold compress and CPM exercise together), Group C(only the CPM exercise). And then compare and analyse the three groups of patients, the volume of blood from wound,the tumidity,the pain and the Harris score at different time. Synthesize the index to carry at the conclusion.Results:1. In postoperative rehabilitation course, group A is better than group B and C in the volume of blood from wound,the tumidity,the pain and the Harris score, and there are conspicuous disparity (P<0.05, P<0.01, P<0.001).2. Group A gets conspicuous disparity in the time of weight loading after operation by compare with group B and C difference (P<0.05). And there is not disparity to compare group B and group C (P>0.05)Conclusion:1. Using the cold compress on the wound of the senile patients with intertrochanteric fracture after operation, it can decrease volume of blood from the wound and lessen the pain.So that patients can carry out the early CPM exercise and functional exercise.2. Using the wax therapy can more lessen the pain and extinct the tumidity. It can make the functional rehabilitation recover better and more quickly, so that it can achieve the goals of treatmen that patients get less pain, activity earlier and decrease the complication.