Clinical Efficacy Of Quantitative Rehabilitation After Incision Reduction And Internal Fixation Of Pilon Fracture Under The Guidance Of "Dynamic And Static Balance" Theory

Objective: To explore the clinical efficacy of quantified rehabilitation after open reduction and internal fixation of Pilon fractures guided by the theory of "dynamic and static balance".To compare the clinical curative effects of two different rehabilitation exercise programs of "quantified rehabilitation" under the theory of "dynamic and static balance" and rehabilitation under the principle of painlessness,and discuss the guiding significance of "quantified rehabilitation" under the theory of "dynamic and static balance" to the rehabilitation exercise of Pilon fractures.Content: By collecting the patients with Pilon fractures in the Department of Orthopedics of Shandong Provincial Hospital of Traditional Chinese Medicine,select the cases that meet the inclusion criteria,and use the random number table method to divide them into two groups.The patients in both groups are treated with delayed open reduction and internal fixation.(Dynamic and static group)under the guidance of the theory of "dynamic and static balance" performed "quantitative control" rehabilitation exercise;the control group(painless group)performed routine early painless active rehabilitation exercise.The preoperative general data,perioperative data,clinical data of postoperative rehabilitation exercise,functional scores and complications of the two groups of patients were recorded.To compare and analyze the observed indicators,to explore the difference in the clinical efficacy of quantitative rehabilitation under the guidance of "dynamic and static balance" theory and exercise rehabilitation under the principle of painlessness after Pilon fracture surgery,and to discuss the clinical guiding significance of "dynamic and static balance" theory of quantitative rehabilitation,and better Help patients restore joint function.Methods: Forty patients with high-energy Pilon fractures who met the inclusion criteria and received treatment from the Department of Orthopedics of Shandong Provincial Hospital of Traditional Chinese Medicine from October 2020 to June 2022 were randomly divided into two groups: a treatment group and a control group.The treatment group is dynamic and static balance group,referred to as dynamic and static group.The control group was the painless rehabilitation group,referred to as the painless group.There are 20 subjects in each group.All patients were treated with delayed open reduction and internal fixation.Postoperative dynamic and static group under the guidance of "dynamic and static balance" theory of "quantitative control" rehabilitation exercise.The pain-free group underwent routine early pain-free active rehabilitation exercises.Comparison of the ankle flexion and extension angles,fracture healing time,VAS scores at the 3rd and 6th weeks after surgery,and AOFAS ankle-hindfoot score quantification table at 1 month,3months,and 6 months after the two rehabilitation exercises Differences in clinical efficacy such as scores and postoperative complications.The clinical significance of quantified rehabilitation after open reduction and internal fixation of Pilon fractures under the guidance of the theory of "dynamic and static balance" was analyzed.Outcome:1.There was no significant difference in preoperative general data and perioperative data between the two groups of patients(P>0.05).2.Comparing the ankle joint flexion and extension angles,fracture healing time,and VAS scores at the 3rd and 6th weeks after operation,the static and dynamic group was better than the painless group,and the difference was statistically significant(P <0.05).3.Through the comparison of complications such as postoperative incision infection,delayed fracture union/nonunion,and joint stiffness,the incidence of adverse reactions in the dynamic and static group was 5% at 6 months after operation,which was better than 35%in the painless group.Statistically significant(P<0.05).4.According to the data of the AOFAS ankle-hindfoot score quantification table,the excellent and good rate of the dynamic and static group was 90% at 6 months after operation,which was significantly better than that of the painless group(60%),and the difference was statistically significant(P<0.05).It can be considered that the rehabilitation effect of the dynamic and static group is better than that of the painless group.Conclusion: Under the guidance of the "dynamic and static balance" theory,the quantitative rehabilitation exercise after Pilon fracture surgery can reduce complications and be more conducive to the functional recovery of the ankle joint while ensuring the normal healing of the fracture.It is a scientific,standardized,safe and Effective rehabilitation exercise methods are worthy of clinical promotion.