Li Yu, Xie Lin, Li Wei
Department of Traumatic Orthopedicss, Yantai Shan Hospital Yantai 264000, Shandong, China.
Department of Rehabilitation Medicine, Yantai Yuhuangding Hospital Yantai 264000, Shandong, China.
Am J Transl Res. 2021 Jul 15;13(7):8316-8322. eCollection 2021.
This research explored and analyzed the effects of early partial weight-bearing rehabilitative exercise on postoperative recovery after Sanders IV calcaneal fractures.
86 patients hospitalized with Sanders IV calcaneal fracture from April 2018 to January 2020 were selected as the research participants. The patients were randomly divided into the observation group (n=44) and the control group (n=42). The control group carried out the conventional rehabilitative exercise, and the observation group underwent early partial weight-bearing rehabilitative exercise. The foot function between the two groups was compared after 24 weeks of treatment.
The foot function of the observation group after 24 weeks of treatment was notably superior to that of the control group (). The Maryland foot function scores of the two groups 6 weeks, 12 weeks and 24 weeks post-operation were critically higher than those before treatment (), and the score of the observation group was substantially higher than that of the control group (). The AOFAS score of patients in the two groups 6 weeks, 12 weeks and 24 weeks post-operation increased apparently than that before treatment (), and the scores of observation group was evidently higher than that of control group (). In addition, the comparison of Angle B'hler and Angle Gissane between the two groups of patients 24 weeks postoperation showed statistically insignificant difference ().
The early partial weight-bearing rehabilitative exercise can effectively promote the postoperative functional recovery of patients with Sander IV calcaneal fractures, and at the same time it has no impact on internal fixation and calcaneus shape of patients, which is worthy popularizing in clinic.
本研究探讨并分析早期部分负重康复锻炼对Sanders IV型跟骨骨折术后恢复的影响。
选取2018年4月至2020年1月住院治疗的86例Sanders IV型跟骨骨折患者作为研究对象。将患者随机分为观察组（n = 44）和对照组（n = 42）。对照组进行常规康复锻炼，观察组进行早期部分负重康复锻炼。治疗24周后比较两组的足部功能。
治疗24周后观察组的足部功能明显优于对照组（）。两组术后6周、12周和24周的马里兰足部功能评分均显著高于治疗前（），且观察组评分显著高于对照组（）。两组患者术后6周、12周和24周的美国足踝外科协会（AOFAS）评分均明显高于治疗前（），且观察组评分明显高于对照组（）。此外，两组患者术后24周的跟骨结节角（Böhler角）和跟骨交叉角（Gissane角）比较，差异无统计学意义（）。
早期部分负重康复锻炼能有效促进Sanders IV型跟骨骨折患者术后功能恢复，同时对患者内固定及跟骨形态无影响，值得临床推广。
