Clinical Study On Rehabilitation Exercise Of Lisfranc Injury Under The Guidance Of Theory Of "Emphasis On Both Sinews And Bones"

Objective:Based on the principle of "paying equal attention to both muscles and bones" after Lisfranc injury,the author compared the two different postoperative rehabilitation exercise programs with the guidance of the principle of "master-passive exercise" and the principle of "painless exercise",observed the difference in clinical efficacy,and discussed the guiding significance and clinical application value of the theory of "paying equal attention to bones and muscles" for early postoperative rehabilitation exercise.Methods:Analysis since October 2017-March 2019 affiliated hospital of shandong university of TCM orthopedics patients included in cases of standard Lisfranc injury,46 cases were randomly divided into treatment group and control group,the evaluation of preoperative variables,eliminate interference factors,two groups of patients were treated by open reduction and internal fixation,postoperative treatment group in the theory of physique and scientific and reasonable early master-passive guided functional exercise;Control group,under the principle of no pain routine active rehabilitation exercise,no theoretical guidance.After wound healing,both groups of patients were treated with huoxue zhitong powder fumigation and washing.Records to compare two groups of patients with perioperative variables,by the American association of ankle surgery(AOFAS)ankle-hind score,health survey profiles(SF-36)and visual analogue scale(VAS)pain assessment analysis of two groups of preoperative and postoperative 1 month,3 months,12 months clinical curative effect,compare two groups of patients with preoperative imaging data,full weight-bearing walking time,postoperative fracture healing time,postoperative complications,patients at the time of the last follow-up in general,and AOFAS score was.Results:There was no significant difference in preoperative and perioperative variables between the two groups(P>0.05);and the mean follow-up time was(13.91±2.21)weeks.Compared with the preoperative results,the AOFAS and sf-36 scores increased significantly and the VAS scores decreased significantly with the postoperative time in both groups(P<0.05).During follow-up at 1,3 and 12 months after surgery,the AOFAS,sf-36 and VAS scores in the treatment group were significantly better than those in the control group,with statistically significant differences(P<0.05).In terms of postoperative full load walking and fracture healing,the time of the treatment group was shorter than that of the control group,and the difference between the two groups was statistically significant(P<0.05).At the last follow-up,the AOFAS score of the treatment group(87.0%)was higher than that of the control group(60.9%),and the treatment group showed advantages in mild pain and recovery to pre-injury motor ability,with statistically significant differences(P<0.05).Postoperative complications such as joint instability and traumatic arthritis were lower in the treatment group than in the control group,with statistically significant differences(x2=4.572,P=0.032<0.05).Conclusion:The theory of physique and guiding Lisfranc injury early postoperative rehabilitation exercise is an effective and reliable methods of rehabilitation,combined with traditional Chinese medicine fumigation treatment,the clinical curative effect,limb function recovery is better,for the modern clinical fractures diseases treatment and functional rehabilitation provides a new thinking and new method.