| Objective:To observe the clinical effect of quantitative rehabilitation after open reduction and internal fixation of calcaneal fracture under the guidance of"dynamic and static balance"theory.To summarize the therapeutic difference between quantitative rehabilitation and painless rehabilitation guided by"dynamic and static balance"theory,and to discuss the clinical application value and significance of"dynamic and static balance"theory for early quantitative rehabilitation after calcaneal fracture surgery.Methods:Sixty patients with SandersⅡ～Ⅳcalcaneal fracture admitted to the Department of Orthopedics of Shandong Hospital of Traditional Chinese Medicine from October 2020 to February 2022 were collected and divided into two groups by random number table method:experimental group and control group,with 30 cases in each group.Both groups were treated with open reduction and internal fixation.The experimental group received early active rehabilitation exercise of"quantitative control"under the guidance of"dynamic and static balance"theory,while the control group received early active rehabilitation exercise under the AO painless principle.Preoperative general and perioperative data of patients in two groups were analyzed,and ankle-posterior foot score(AOFAS)and health survey scale score(SF-36)of patients in two groups were analyzed before surgery and 1,3,and 12 months after surgery.Visual analog pain score(VAS)was collected before surgery and at the 3weeks,6weeks and 12 weeks after surgery in the two groups.Fracture healing time,normal walking time,postoperative complications and the good and good rate of AOFAS score were recorded in the two groups.Results:1.Comparison of preoperative general data:Statistical results showed that there were no significant differences between the two groups in gender,age,affected side,fracture type,injury cause and injury to operation time(P>0.05).2.Comparison of perioperative data:Statistical results showed that there were no significant differences between the two groups in terms of incision length,operation time,bone graft/no bone graft,blister and total length of hospital stay(P>0.05).3.AOFAS score and SF-36 score:The results showed that the AOFAS score and SF-36 score of the experimental group were higher than those of the control group at 1month,3 months and 12 months after surgery,and the difference was statistically significant(P<0.05).4.VAS pain score:Statistical results showed that there was no significant difference in VAS score between the two groups before surgery(P>0.05).At the 3rd and 6th week after surgery,scores of the experimental group were lower than those of the control group,the difference was statistically significant(P<0.05).5.Fracture healing time and normal walking time:The statistical results showed that the fracture healing time and normal walking time of the experimental group were less than those of the control group,and the difference was statistically significant(P<0.05).6.Postoperative complications:Statistical results showed that the incidence of subtalar joint stiffness,chronic pain and traumatic arthritis in the experimental group was lower than that in the control group,and the difference was statistically significant(X~2=4.812,P=0.028<0.05).7.Comparison of excellent and good rate of AOFAS score at the last follow-up:Statistical results showed that the excellent and good rate of the experimental group at the last follow-up was 90.0%,which was significantly better than that of the control group at73.33%,and the difference was statistically significant(P=0.028<0.05).Conclusion:The theory of"dynamic and static balance"guides quantitative rehabilitation exercise after calcaneal fracture,which can effectively reduce the occurrence of postoperative complications on the basis of ensuring the normal healing of fracture.It is a safe,effective and reliable rehabilitation method,and the postoperative functional recovery of foot and ankle joint is good,worthy of clinical promotion and application. |
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