Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 311-314
YANG Tao, WANG Wen-hui, JIANG Tao. Application of rehabilitation theory of 'paying equal attention to sinew and bone' in postoperative Pilon patients and its preventive effect on deep vein thrombosis[J]. Chinese Journal of General Practice, 2022, 20(2): 311-314. doi: 10.16766/j.cnki.issn.1674-4152.002340
Citation: YANG Tao, WANG Wen-hui, JIANG Tao. Application of rehabilitation theory of "paying equal attention to sinew and bone" in postoperative Pilon patients and its preventive effect on deep vein thrombosis[J]. Chinese Journal of General Practice, 2022, 20(2): 311-314. doi: 10.16766/j.cnki.issn.1674-4152.002340
shu

Application of rehabilitation theory of "paying equal attention to sinew and bone" in postoperative Pilon patients and its preventive effect on deep vein thrombosis

doi: 10.16766/j.cnki.issn.1674-4152.002340

  • Orthopaedic Trauma Department, Dalian Second People's Hospital, Dalian, Liaoning 116001, China

Funds:

 2019-ZD-0965

  • Received Date: 2021-04-21
    Available Online: 2022-03-04
    Abstract
  •   Objective  To explore the application of rehabilitation theory of "paying equal attention to sinew and bone" in postoperative patients with distal tibial burst fracture (Pilon fracture) and its preventive effect on deep venous thrombosis (DVT).  Methods  A total of 86 cases of tibial Pilon fracture treated in Dalian Second People's Hospital from June 2017 to December 2019 were selected for open reduction and internal fixation. They were randomly divided into control group (routine rehabilitation training) with 42 cases and observation group (rehabilitation theory of paying equal attention to sinew and bone) with 43 cases. The general data of the patients were collected and compared. The swelling degree of ankle joint, ankle joint function, and joint activity scores of the two groups were recorded one day, two weeks, and four weeks after operation. The edema-regression time, bone healing time, and complications were recorded.  Results  No significant difference was observed between the control and observation groups (all P > 0.05). Two and four weeks after operation, the degree of ankle swelling, ankle joint function, and joint activity in the observation group were better than those in the control group (all P < 0.05). Edema-regression time and bone-healing time in the control group were significantly longer than those in the observation group. In the control group, 6 cases were local infection (14.28%), 4 cases were DVT (9.52%), 1 case was local infection (2.32%), and 2 cases were DVT (4.65%). The incidence of complication in the control group was significantly higher than that in the observation group (P < 0.05). No significant difference was observed in the expected values of rehabilitation between the two groups (P > 0.05), but the satisfaction of the observation group was higher than that of the control group (P < 0.05).  Conclusion  Rehabilitation training guided by the rehabilitation theory of "paying equal attention to sinew and bone" can effectively prevent postoperative DVT formation in Pilon patients and is thus worthy of clinical application and promotion.

     

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