Effect of Early Weight-bearing on Appropriate Population with Intertrochanteric Fracture after Surgery
10.3969/j.issn.1006-9771.2020.08.015
- VernacularTitle:股骨粗隆间骨折术后早期负重在适宜人群中的效果
- Author:
Yan-qian HE
1
;
Jing RUAN
1
;
Guo-dong FENG
1
;
Xiao-ying LIN
1
;
Yang-peng WU
1
;
Wei-xia WAN
1
;
Tao-yi CAI
2
;
Guo-feng HUANG
2
;
Zhi-da CHEN
2
;
Jian-lin OU
3
Author Information
1. Department of Physical Medicine and Rehabilitation, Affiliated Dongnan Hospital of Xiamen University, Zhangzhou, Fujian 363000, China
2. Department of Orthopaedics, Affiliated Dongnan Hospital of Xiamen University, Zhangzhou, Fujian 363000, China
3. the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, China
- Publication Type:Research Article
- Keywords:
intertrochanteric fracture;
weight-bearing;
rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(8):955-959
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of early weight-bearing on the appropriate population with intertrochanteric fracture after surgery. Methods:From April, 2017 to December, 2018, a total of 45 patients with Evans-Jensen type II intertrochanteric fracture and fracture reduction as positive medial cortex support (PMCS) after proximal femoral nail anti-rotation (PFNA) fixation were randomly divided into control group (n = 22) and experimental group (n = 23). Weight-bearing as tolerated (WBAT) was initiated from six weeks after surgery in the control group, and within 48 h after surgery in the experimental group. The frequency of WBAT in two groups increased gradually from three times a day for ten minutes a time to five times a day for 20 minutes a time until clinical healing of fracture. The length of stay, hospital cost, the fracture healing time and the complication incidence were compared between two groups, as well as the scores of Visual Analogue Scale (VAS) and Harris Hip Score at six weeks, three months and six months after surgery. Results:Compared with the control group, the length of stay was shorter (t = 3.716, P < 0.01), the hospital cost was lower, but no significant difference was found (t = 1.540, P > 0.05), and the fracture healing time was shorter (t = 6.248, P < 0.001) in the experimental group. The complication incidence was lower in the experimental group, but there was no significant difference (χ2= 2.198, P > 0.05). Six weeks, three months and six months after surgery, there was no significant difference in the score of VAS between two groups (t < 1.330, P > 0.05). The score of Harris Hip Score was significantly higher in the experimental group than in the control group six weeks after surgery (t = -5.115, P < 0.001), however, no significant difference was found in other time points (|t| < 1.799, P > 0.05). Conclusion:Early weight-bearing within 48 h after PFNA fixation for Evans-Jensen type II intertrochanteric fractures and reduction with PMCS could shorten the length of stay, shorten the bony healing time and promote early recovery of hip function.
