闭合复位无头加压螺钉内固定联合早期部分负重康复锻炼在促进跟骨骨折患者足部功能早期恢复中的应用价值

The Application Value of Closed Reduction and Headless Compression Screw Internal Fixation Combined with Early Partial Weight-Bearing Rehabilitation Exercise in Promoting Early Recovery of Foot Function in Patients with Calcaneal Fractures

目的分析闭合复位无头加压螺钉(HCS)内固定联合早期部分负重康复锻炼对跟骨骨折患者的影响.方法选取2021年6月—2023年6月我院收治的86例跟骨骨折患者为研究对象,按随机数字表法将其分为对照组和观察组,每组43例.所有患者均行闭合复位HCS内固定,对照组术后行常规康复锻炼,观察组术后行早期部分负重康复锻炼.对比两组的足部功能、生活质量、并发症发生情况.结果治疗后,观察组Maryland足部评分为(76.41±6.52)分,美国足踝外科协会踝关节评分为(76.98±6.18)分,生活质量综合评定问卷内各个维度评分分别为(78.96±5.48)分、(79.52±4.24)分、(76.84±4.83)分、(79.85±4.31)分,均高于对照组的(69.96±5.35)分、(68.71±5.25)分、(66.41±4.25)分、(68.41±3.63)分、(68.67±4.15)分、(70.69±3.21)分,组间差异有统计学意义(P<0.05);观察组并发症发生率为4.65%,低于对照组的18.60%,差异有统计学意义(P<0.05).结论闭合复位HCS内固定联合早期部分负重康复锻炼能改善跟骨骨折患者的足部功能,提高生活质量,且并发症少,可推广运用.

Objective To analyze the effect of closed reduction headless compression screw(HCS)internal fixation com-bined with early partial weight-bearing rehabilitation exercise on patients with calcaneal fractures.Methods 86 patients with calcaneal fractures admitted to our hospital from June 2021 to June 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 43 cases in each group.All patients un-derwent closed reduction and headless compression screw internal fixation.The control group received routine rehabilitation exercise after surgery,while the observation group received early partial weight-bearing rehabilitation exercise.Compare foot function,quality of life,and complications between two groups after surgery.Results After treatment,the observation group's Maryland foot score was(76.41±6.52)points,the American society for Foot and Ankle Surgery ankle joint score was(76.98±6.18)points,and the comprehensive quality of life questionnaire scores for each dimension were(78.96±5.48)points,(79.52±4.24)points,(76.84±4.83)points,and(79.85±4.31)points,respectively,higher than the control group's(69.96±5.35)points,(68.71±5.25)points,(66.41±4.25)points,and(68.41±3.63)points(68.67±4.15)points,(70.69±3.21)points,the differences between groups were statistically significant(P<0.05);the incidence of complications in the observation group was 4.65%,lower than the 18.60%in the control group,the difference between groups was statistically significant(P<0.05).Conclusion Closed reduction HCS internal fixation combined with early partial weight-bearing rehabilitation exercise can improve foot function and quality of life in patients with calcaneal fractures,with fewer complications,and can be widely applied.