Application Of Dynamic And Static Balance Theory In Postoperative Functional Rehabilitation Of Complex Tibial Plateau Fractures

Objective:Based on the complexity of the fracture of tibial plateau "movement" under the guidance of the theory of the main-under the principles of traditional passive rehabilitation exercise and AO painless rehabilitation exercise actively,contrast and observe the clinical curative effect of rehabilitation scheme of two kinds of differences,discusses the theory of static equilibrium in the complex fractures of tibial plateau significance of postoperative functional rehabilitation,provide certain reference for clinical function recovery.Methods:A total of 40 patients with complex tibial plateau fractures who were admitted to The Affiliated Hospital of Shandong University of Traditional Chinese Medicine from August 2016 to February 2018 and met the inclusion criteria were selected and divided into experimental group and control group according to random number table method,with 20 patients in each group.Preoperative conditions of patients in both groups were evaluated and interference factors were excluded.Patients in both groups were treated with open reduction and internal fixation with plate.The experimental group underwent active and passive rehabilitation exercise under the guidance of "dynamic and static balance" theory.The control group underwent active rehabilitation exercise under the principle of AO traditional painless,without "static and static balance" theory intervention.The personal data of the two groups of patients were recorded and compared,and the Hospital for special surgery(HSS)of the American Hospital for Special Surgery was used to evaluate and analyze the clinical efficacy of the two groups of patients at 6 months after operation.Preoperative,1 month after operation,3 months after operation,6months after operation,pain score,range of montion of knee joint,HSS score.Results:There was no significant difference in personal data between the two groups.1.The preoperative pain score(P=0.227),the range of motion of the knee joint(P=0.966),and the HSS knee joint score(P=0.828)had no significant difference between the two groups(P>0.05).2.There was a statistically significant difference in pain score between the two groups at 1 month after operation(P=0.003<0.05);the range of motion of the knee joint(P=0.838)and the HSS knee joint score(P=0.586)were significantly different between the two groups.The difference was not statistically significant(P>0.05).3.At 3 months after operation,the pain score(P=0.030),the range of motion of the knee joint(P=0.011),and the HSS knee joint score(P=0.000)were significantly different between the two groups(P<0.05).The effect of the experimental group was significantly better than that of the control group.4.Six months after operation,there was no significant difference in pain scores between the two groups(P=0.356>0.05);there were significant differences in the range of motion of the knee joint(P=0.006)and the HSS knee joint score(P=0.000).(P<0.05),the effect of the experimental group was significantly better than that of the control group.5.Six months after operation,the excellent and good rate of knee joint score in the treatment group(95%)was significantly higher than that in the control group(70%)(P=0.005<0.05),and the excellent and good rate in the experimental group was higher than that in the control group,and there were more excellent cases.Conclusion:It is an effective and feasible method to apply the theory of "dynamic and static balance" in the early stage of rehabilitation exercise after complex tibial plateau fracture,with definite clinical efficacy and better functional rehabilitation of the affected limb,providing ideas and reference for the functional rehabilitation of clinical fracture disease.