The Clinical Research Of The Cotton Fracture Surgery And Postoperative Rehabilitation Exercise

Objective: Trimalleolar fracture are common but serious fracture, operation requirements higher, this passage aims to study posterolateral approach the operation mode of the road with static and dynamic balance method of functional exercise on patients with functional recovery effect of.Methods:Choose 36 patients of trimalleolar fracture, intraoperative lateral and posterior ankle after lateral incision, the first fixed after ankle, ankle after reduction adopts a hollow screw fixation, along with incision split along to the lateral malleolus, lateral malleolus reduction with anatomic plate fixation, finally take the medial malleolus medial incision, the malleolus hollow screw fixation. After the operation according to the individual patient specific body functional rehabilitation exercise guidance, with the minimum effective rehabilitation quantization is appropriate.Results: 36 patients achieved bony healing. The healing time was 3-5 months, without the occurrence of osteoarthritis, 12 months follow-up all patients can walk normally, no failure of internal fixation is a, X-ray showed all the fracture line disappeared, AOFAS score: excellent: 29 cases, good in 6 cases,: 1 case, poor in 0 cases. The excellent rate of up to 97.2%.Conclusion:1.Posterolateral incision can after open reduction,reduction easier and better, reduce step formation, reduce the incidence of osteoarthritis.2.The static and dynamic balance function training method is a scientific postoperative rehabilitation guidance function, in ensuring the premise of patients with fracture stability, joint function recovered well.