Clinical Observation Of Zhuangjinyangxue Decoction Combined With Exercise Therapy On Reconstruction Of Anterior Talofibular Ligament Injury After Surgery

Objective: To observe the clinical effect of Zhuangjin Yangxue Decoction combined with exercise therapy on pain,ankle swelling and postoperative comprehensive ankle function in patients with anterior talofibular ligament injury undergoing reconstruction surgery.Methods: The 60 patients included in the study were randomly divided into the control group and the observation group,with 30 patients in each group.Both groups were treated with anterior talofibular ligament reconstruction surgery.After operation,the observation group was given Zhuangjin Yangxue decoction orally for 28 days,supplemented by exercise therapy;the control group was given routine clinical treatment,supplemented by exercise therapy.Observe and record the pain degree,ankle swelling degree and ankle function of the two groups and compare them.Results: All patients were followed up after operation for 6 months,and there were no adverse events and dropouts during the study.After statistical analysis,it was considered that the gender,age,left and right distribution of the injured limb,and tendon selection of the two groups of patients showed that P>0.05,and the data of the two groups had comparative value.1.Comparison of VAS pain scoring system: the VAS pain score of the control group before surgery was 2.60±0.621,the VAS pain score of the observation group before surgery was 2.41±0.733.And the VAS pain score of the control group 4 weeks after surgery was 1.57±0.568,the VAS pain score of the observation group 4 weeks after surgery was 0.93±0.753.The preoperative VAS pain score of the two groups of patients was statistically analyzed,and the results showed that P>0.05,which was statistically value.The VAS pain scores in the two groups were significantly reduced 4 weeks after the operation compared with those before the operation.The statistical analysis showed that P<0.05,the results were statistically significant,and the effect of the observation group was better than that of the control group.2.Figure-of-eight-20 Comparison of ankle swelling degree measurement methods: the ankle joint swelling degree before surgery in the control group was 552.90±12.06 mm,and the preoperative ankle swelling degree in the observation group was 553.28±11.47 mm.The degree of ankle swelling at 4 weeks after surgery was 531.20±11.14 mm,and the degree of ankle swelling in the observation group was 525.10±11.10 mm at 4 weeks after surgery.The measurement results of the swelling degree of the two groups of patients before surgery showed that P>0.05,which has statistical value;the measurement results of the swelling degree of the two groups of patients at 4 weeks after surgery were significantly less than those before surgery,and the statistical analysis results showed that P<0.05,the results were statistically significant,and the effect of the observation group was better than that of the control group.3.American Foot and Ankle Surgeons Association(AOFAS)Ankle and Hindfoot Scoring System: The preoperative AOFAS score of the control group was 55.60±4.02,and the preoperative AOFAS score of the observation group was 57.34±4.55.The AOFAS score of the control group at 6 months after operation was 89.73±3.14,and the AOFAS score of the observation group at 6 months after operation was 93.90±3.20.The preoperative AOFAS scores of the two groups of patients were statistically analyzed,and the results showed that P>0.05,which was of statistical value.4 weeks after operation,the AOFAS scores of the two groups of patients were significantly improved compared with those before operation.The results of statistical analysis showed that P<0.05,the results were statistically significant,and the effect of the observation group was better than that of the control group.Conclusion: The results of this study show that the control group can play a certain role in the treatment of anterior talofibular ligament injury.Combined with Zhuangjin Yangxue decoction and exercise therapy after surgery,it can have a better therapeutic effect on postoperative pain,swelling and the recovery of the overall function of the ankle joint,which can improve the benefit effect of surgical treatment.