A new type of adjustable weight bearing rehabilitation brace for lower limbs in postoperative rehabilitation of proximal femoral nail anti-rotation.
10.12200/j.issn.1003-0034.2020.04.004
- Author:
Zhuan-Zhi HUANG
1
;
Zhi-da CHEN
1
;
Chao SONG
1
;
Jin WU
1
;
Tao-Yi CAI
1
;
Bin LIN
1
Author Information
1. Department of Orthopaedics, the 909th Hospital of PLA, Affiliated Southeast Hospital of Xiamen University, Orthopaedic Center of People's Liberation Army, Zhangzhou 363000, Fujian, China.
- Publication Type:Journal Article
- Keywords:
Braces;
Femoral fractures;
Fracture fixation, intramedullary;
Hip fractures;
Rehabilitation
- MeSH:
Aged;
Bone Nails;
Braces;
Female;
Fracture Fixation, Intramedullary;
Hip Fractures;
Humans;
Lower Extremity;
Male;
Middle Aged;
Retrospective Studies;
Treatment Outcome;
Weight-Bearing
- From:
China Journal of Orthopaedics and Traumatology
2020;33(4):306-311
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study and analyze the clinical effect of the self-developed new adjustable weight-bearing rehabilitation brace in the rehabilitation of the femoral intertrochanteric fracture after the operation of PFNA.
METHODS:From July 2015 to June 2017, 62 patients with typeⅡ (Evans-Jensen classification) intertrochanteric fracture of femur were treated with PFNA internal fixation. There were 11 males and 19 females in the routine rehabilitation group, with an average age of (70.73± 6.09) years;17 males and 15 females in the brace rehabilitation group, with an average age of (71.25±6.60) years. Among them, the patients in the routine rehabilitation group recovered according to the routine method, and the patients in the support rehabilitation group used the self-developed new adjustable weight-bearing rehabilitation support of lower limbs to assist the early rehabilitation. The pain intensity(VAS score), weight-bearing of affected limb, clinical healing time of fracture, Harris score and complications were recorded and analyzed.
RESULTS:Nine patients lost their visit half a year later, the other 53 patients were followed up for 9 to 18 months. The VAS score at 1, 3, 6 months after operation of brace rehabilitation group was lower than that of routine rehabilitation group(<0.05). The weight bearing of the limbs in the rehabilitation group was significantly higher than that in the conventional rehabilitation group(<0.05), but the clinical healing time of fracture in the brace rehabilitation group was shorter than that in the routine rehabilitation group(<0.05). In addition, the Harris score of the postoperativebrace rehabilitation group was better than that of the conventional rehabilitation group(<0.05). The incidence of complications was lower than that of the conventional rehabilitation group(=0.048).
CONCLUSION:In the rehabilitation of Evans Jensen typeⅡintertrochanteric fracture after PFNA internal fixation, the new self-developed adjustable weight-bearing rehabilitation brace can significantly relieve postoperative pain, regulate and moderately increase the stress stimulation at the fracture end, so as to promote fracture healing, accelerate the recovery of hip joint function, reduce the incidence of complications, and its clinical effect is safe and reliable.
