踝关节骨折内固定术后早期康复效果及影响因素分析

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Abstract Objective To investigate the early rehabilitation effect after internal fixation of ankle fracture,and to analyse the influencing factors.Methods A total of 60 patients underwent internal fixation of ankle fracture in Chung Yan Hing Memorial Hospital from January 2019 to January 2021 were selected as research objects,and the early rehabilitation training was performed within 12 weeks after surgery.After 12 months after surgery,the patients were divided into excellent ankle function group and poor ankle function group according to the American Orthopedic Foot and Ankle Society(AOFAS)ankle hindfoot score.The influence factors of early rehabilitation effect were analyzed by univariate analysis,and the multivariate logisitic regression was used to analyse the influencing factors of early rehabilitation effect.Results There were 42 patients(70.00%)with excellent ankle function and 18 patients(30.00%)with poor ankle function.Pain score,functional activity score and rear foot arrangement score were(38.45±1.12),(41.60±2.58)and(13.42±1.07)points.The univariate analysis showed that there were statistically significant differences between the proportion of patients with age ≥40 years,time from injury to operation ＞8 h,without persistence of functional exercise and postoperative complications between poor ankle function group and excellent ankle function group(P＜0.05).The multivariate analysis showed that age ≥40 years(β=0.274, OR=1.249,95%CI=1.022-1.615),time from injury to operation ＞8 h(β=0.285, OR=1.358,95%CI=1.097-1.704),without persistence of functional exercise(β=0.347, OR=1.472,95%CI=1.135-1.890)and postoperative complications(β=0.382, OR=1.375,95%CI=1.119-1.762)were the independent risk factors for poor ankle function in early rehabilitation(P＜0.05).Conclusion The early rehabilitation effect after internal fixation of ankle fracture was better,and there were many influencing factors,so the targeted measures should be taken to ensure early rehabilitation effect.

Key words： Ankle fracture Internal fixation Postoperative early rehabilitation Ankle function Influencing factors

Received: 01 December 2021

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[1]	刘松.踝关节骨折流行病学及成人踝关节骨折手术部位感染危险因素研究[D].石家庄：河北医科大学，2019.
[2]	王龙，任浩.踝关节骨折的手术治疗效果及预后影响因素分析[J].临床医学研究与实践，2021，6（23）：27-29.
[3]	苏嘉，沈新升.踝关节骨折手术治疗和手法复位治疗效果分析[J].中国全科医学，2021，24（S1）：120-122.
[4]	刘学哲.术后早期康复锻炼处方促进跟骨骨折患者踝关节功能康复的效果观察[J].中医临床研究，2017，9（24）：127-128.
[5]	张庆丰.针对踝关节骨折患者进行早期康复训练对关节功能恢复的效果分析[J].中国社区医师，2020，36（5）：168，170.
[6]	Kitaoka HB，Alexander IJ，Adelaar RS，et al.Clinical rating systems for the ankle-hindfoot，midfoot，hallux and lesser toes[J].Foot Ankle Int，1997，18（3）：187-188．
[7]	陈业贺，刘世杰，陈燕才.切开复位内固定术对踝关节骨折脱位患者的临床效果及安全性[J].中国医学创新，2018，15（11）：89-93.
[8]	蓝芳令，阮才政，胡明云，等.切开复位内固定与手法整复石膏外固定治疗旋后外旋Ⅱ、Ⅲ度踝关节骨折效果对比[J].中国医药科学，2020，10（14）：217-219.
[9]	朱佳福，徐卫星，刘宏.短期石膏制动对跟骨骨折术后踝关节功能影响的临床观察[J].浙江实用医学，2016，21（3）：190-191.
[10]	蔡文娟.早期康复训练和针对性护理应用于踝关节骨折术后患者的效果[J].河南外科学杂志，2022，28（1）：191-193.
[12]	刘丽，齐斌霞，姜桂清，等.踝关节骨折手术后进行早期康复训练的远期疗效观察[J].中国继续医学教育，2016，8（18）：204-205.
[13]	刘艳，谭艳庆，谭彩霞，等.支具辅助旋后-外旋型Ⅳ度踝关节骨折术后早期功能康复的疗效观察[J].现代医院，2018，18（11）：1661-1664.
[14]	王丽辉，林巧景，顾龙殿，等.踝关节骨折术后早期康复介入的效果分析[J].中国骨与关节损伤杂志，2021，36（4）：427-429.
[15]	冯政，黄涵，王磊.高龄股骨颈骨折患者人工双极股骨头置换术后死亡危险因素分析[J].上海医学，2021，44（4）：246-250.
[11]	Dehghan N，McKee MD，Jenkinson RJ，et al.Early Weightbearing and Range of Motion Versus Non-Weightbearing and Immobilization After Open Reduction and Internal Fixation of Unstable Ankle Fractures：A Randomized Controlled Trial[J].J Orthop Trauma，2016，30（7）：345-352.
[16]	戚鸿飞.影响老年髋部骨折病人术后自理能力恢复的危险因素分析[D].延安：延安大学，2021.
[17]	刘杰，宋才，梁西俊，等.踝关节骨折切开复位内固定术后患者踝关节功能影响因素分析[J].新乡医学院学报，2019，36（11）：1044-1047.
[18]	吴玉宝，陈敢真，石跃滨.辅助内侧入路重建前交叉韧带疗效及受伤至手术间隔时间对疗效的影响[J].中国研究型医院，2019，6（4）：24-29.
[19]	尹金旺，朱康，王晓桐，等.切开复位内固定治疗踝关节骨折的疗效及影响术后踝关节功能恢复的相关因素分析[J].足踝外科电子杂志，2020，7（2）：15-18.