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踝关节组合操在Ⅱ、Ⅲ型Pilon骨折患者术后康复中的应用效果

陈华楠 杨婷 张杰

现代医药卫生2025,Vol.41Issue(6):1393-1396,4.
现代医药卫生2025,Vol.41Issue(6):1393-1396,4.DOI:10.3969/j.issn.1009-5519.2025.06.022

踝关节组合操在Ⅱ、Ⅲ型Pilon骨折患者术后康复中的应用效果

Application effect of ankle joint combined exercise in postoperative rehabilitation of patients with type Ⅱ and Ⅲ Pilon fractures

陈华楠 1杨婷 1张杰1

作者信息

  • 1. 郑州市骨科医院创伤外科,河南 郑州 450000
  • 折叠

摘要

Abstract

Objective To explore the effect of ankle joint combined exercise on postoperative rehabilita-tion of patients with type Ⅱ and Ⅲ Pilon fractures.Methods A total of 100 patients with type Ⅱ and Ⅲ Pi-lon fractures admitted to our hospital from February 2022 to February 2024 were randomly divided into con-trol group and observation group,with 50 cases in each group.The control group was treated with routine re-habilitation training mode,and the observation group was treated with ankle joint combined exercise training mode.The fracture healing time,ankle swelling degree,ankle joint activity,American Orthopaedic Foot and Ankle Society(AOFAS)score,and the incidence of postoperative complications were compared between the two groups.Results The fracture healing time in the observation group was(3.14±0.29)months,which was shorter than(3.62±0.34)months of the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences in ankle circumference,AOFAS score,ankle dorsiflexion,plantar flexion,varus,and valgus between the two groups before intervention(P>0.05).After intervention,the ankle circumference diameter,AOFAS score,ankle dorsal extension,plantar flexion,varus and valgus angles of the two groups were better than those before intervention,and the observation group was better than the control group,and the difference was statistically significant(P<0.05).There was a statisti-cally significant difference in the incidence of postoperative complications between the two groups(χ2=4.000,P=0.045).Conclusion The rehabilitation training of ankle joint combined exercise for patients with type Ⅱand Ⅲ Pilon fractures has a good effect,which can effectively reduce the degree of ankle swelling,improve an-kle mobility,promote the recovery of ankle function,promote fracture healing,and reduce the incidence of postoperative complications.

关键词

Pilon骨折/踝关节/康复/组合操

Key words

Pilon fracture/Ankle joint/Rehabilitation/Combined exercise

分类

医药卫生

引用本文复制引用

陈华楠,杨婷,张杰..踝关节组合操在Ⅱ、Ⅲ型Pilon骨折患者术后康复中的应用效果[J].现代医药卫生,2025,41(6):1393-1396,4.

现代医药卫生

1009-5519

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