Perioperative rehabilitation clinical pathway of acetabular fracture in light of the integration of orthopedics and rehabilitation: a prospective randomized control trial
10.3969/j.issn.1006-9771.2022.07.001
- VernacularTitle:骨科康复一体化模式下髋臼骨折围手术期康复临床路径：一项前瞻性随机对照研究
- Author:
Yuzhang WANG
1
;
Xiaohua LIU
1
;
Li TAO
1
;
Qiang LI
1
;
Wenqian ZHI
1
;
Qiang HUANG
1
;
Xianfeng GUO
1
;
Yufeng GE
2
;
Jinhui WANG
2
;
Xinbao WU
2
Author Information
1. Department of Rehabilitation Medicine, Beijing Jishuitan Hospital, Beijing 100035, China
2. Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, Beijing 100035, China
- Publication Type:Journal Article
- Keywords:
orthopedic rehabilitation;
acetabular fracture;
rehabilitation clinical pathway;
randomized control trial
- From:
Chinese Journal of Rehabilitation Theory and Practice
2022;28(7):745-752
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the efficacy and safety of a perioperative rehabilitation clinical pathway of acetabular fracture in light of orthopedics rehabilitation team approach. MethodsA prospective randomized control trial was conducted in 82 patients with acetabular fractures who had been admitted from the Emergency Department of Orthopaedic Trauma, Beijing Jishuitan Hospital from June, 2019 to January, 2021. The patients were randomly divided into control group (n = 41) and intervention group (n = 41). The control group was managed routinely, while the intervention group received the rehabilitation clinical pathway, for 24 weeks. The Visual Analogue Score (VAS) of pain, the Barthel Index (BI) and Majeed Pelvic Score were compared. ResultsFinally, 76 patients completed the trial. There was no statistical difference in VAS score between two groups in all periods (|Z| < 1.926, P > 0.05). The BI score was higher in the intervention group than in the control group at discharge, two weeks, six weeks and twelve weeks after operation (|Z| > 2.121, P < 0.05); and no significant difference was found before operation and 24 weeks after operation (|Z| < 1.862, P > 0.05). Majeed Pelvic Score was higher in the intervention group than in the control group two weeks, six weeks, twelve weeks and 24 weeks after operation (|Z| > 2.428, P < 0.05). Six, twelve and 24 weeks after operation, the excellent rate of Majeed Pelvic Score was higher in the intervention group than in the control group (χ2 > 6.136, P < 0.05). ConclusionIn comparison with traditional protocol in acetabular fracture, the perioperative rehabilitation clinical pathway was proved effective and of great safety in the light of the integration of orthopedics and rehabilitation mode for improving the function and activities of daily living of patients.
