摘要
Abstract
Objective:To investigate the effect of total ankle joint repair combined with Glauber's salt on functional recovery after ankle fracture.Methods:70 patients with ankle fracture admitted in our hospital from March 2019 to January 2023 were selected as research objects,and all patients were divided into a control group and an observation group according to random number table method,with 35 cases in each group.All patients were treated with total ankle joint repair,and the observation group was treated with external Glauber's salt after total ankle joint repair treatment.The improvement of the ankle joint function of the patients was evaluated by the American Orthopaedic Foot and Ankle Association(AOFAS)score,and the dorsal extension motion and plantar-flexor motion of the patients were measured.The difference of the circumference diameter between the healthy limb and the affected limb on day 1,3 and 6 of Postoperation,the pain Visual Analog Scale(VAS)score at 1 and 6 d of Postoperation,and the serum D-dimer level after treatment were compared between the two groups.Results:There were no statistically significant differences in AOFAS score,ankle dorsal-extension and ankle plantar flexion motion between the two groups before treatment(P>0.05).After treatment,AOFAS score,ankle dorsal-extension and plantar flexion motion between the two groups were significantly improved(P<0.05),and there were no statistically significant differences between the two groups(P>0.05).There were no statistical significance in the differences of the circumference diameter between the healthy limb and the affected limb in the two groups 1 d after surgery(P>0.05),and the difference of the circumference diameter between the healthy limb and the affected limb in the 2 groups was gradually reduced 3 and 6 d after surgery,and the difference between the healthy limb and the affected limb on 3 and 6 d after surgery in the observation group was lower than that in the control group,with statistical significance between the two groups(P<0.05).There was no significant difference in Postoperative VAS score between the two groups 1 d after surgery,and VAS score in the observation group was lower than that in the control group 6 d after surgery,with statistically significant differences between the two groups(P<0.05).After treatment,the serum D-dimer level of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion:The total repair treatment of ankle joint can effectively improve the various functions of ankle joint in patients with ankle fracture.If the intervention combined with external application of Glauber's salt after surgery,it has a significant effect on alleviating postoperative swelling and pain,and can also significantly promote the improvement of coagulation index.关键词
踝关节骨折/踝关节全修复/外敷芒硝/踝关节功能/肿胀/疼痛Key words
Ankle joint fracture/Total ankle joint repair/Coated with Glauber's salt/Ankle joint function/Swelling/Pain分类
医药卫生
