Clinical Observation On Functional Rehabilitation Of Femoral Intertrochanteric Fractures After PFNA Under The Guidance Of "Dynamic And Static Balance" Theory

Objective: To explore the clinical efficacy of functional rehabilitation after PFNA for intertrochanteric fractures under the guidance of the theory of “dynamic and static balance” in traditional Chinese medicine.To compare the difference in clinical efficacy between two different postoperative rehabilitation exercise programs,active rehabilitation exercise under the guidance of “dynamic and static balance” theory and passive rehabilitation exercise under the guidance of painless rehabilitation principle,and to explore the effect of “dynamic and static balance” theory on intertrochanteric fracture PFNA in the elderly Clinical application value and significance of early postoperative rehabilitation exercise.Methods: A total of 50 patients with femoral intertrochanteric fractures who were admitted to the Department of Orthopedics,Shandong Provincial Hospital of Traditional Chinese Medicine from October 2019 to February 2021 were divided into two groups by random number table method: dynamic and static balance group and painless rehabilitation group.The dynamic and static balance group was the observation group,referred to as the dynamic and static group,with a total of 25 cases,including 6 males and 19 females,aged 60-90 years old,with an average age of(77.92±8.97)years old,7 cases of type A1 and 18 cases of type A2.The painless rehabilitation group was the control group,referred to as the painless group,with a total of 25 cases,including7 males and 18 females,aged 65-90 years old,with an average age of(80.24±7.30)years old,9 cases of A1 type and 16 cases of A2 type.There were no statistically significant differences in general data between the two groups.All patients were surgically treated with closed reduction and PFNA internal fixation.The postoperative static and dynamic group received scientific and reasonable early active rehabilitation exercises under the guidance of the theory of“dynamic and static balance”and“quantitative control”,while the pain-free group received routine active rehabilitation exercises based on the pain-free principle.In both groups,the incision sutures were removed about 14 days after the incision healed.The Harris hip function score was used to evaluate and analyze the recovery of hip function in the two groups at 12 months after operation.By comparing the clinical efficacy of the two rehabilitation exercise methods,the clinical significance of “dynamic and static balance” theory in rehabilitation exercise after PFNA for femoral intertrochanteric fractures was analyzed.Results: 1.Compared with Harris hip function score,the dynamic group was better than the painless group in pain,daily activities,gait,joint activities and total score,and the difference was statistically significant(P<0.05).2.Compared with the hip flexion angle and fracture healing time at the12 th month after operation,the dynamic and static group were better than the painless group,and the difference was statistically significant(P<0.05).There was no significant difference between the two groups in terms of the length of hospital stay(P>0.05).3.According to Harris hip function score,the excellent and good rate of the static and dynamic group was 92%,which was significantly better than that of the painless group(60%),the difference was statistically significant(P<0.05).It can be considered that the rehabilitation effect of the static and dynamic group is better than that of the painless group.Conclusion: The theory of “dynamic and static balance” guides active rehabilitation exercise after PFNA for femoral intertrochanteric fractures,which is an effective and reliable rehabilitation method.