CAJ | 학술논문

目的：探索功能锻炼介入时间对踝关节骨折后期功能恢复的影响。方法：本组120例踝关节骨折，男62例，女58例；年龄18～69岁，平均46.54岁。受伤肢体左侧49例，右侧71例。随机分为A、B、C、D 4组，每组各30例，均行手法复位纸夹板外固定治疗，对复位满意者按A、B、C、D分组分别于3、4、5、6周开始介入手法康复治疗。全部患者均于骨折后8周、10周、12周接受随访，通过Takakura踝关节评分系统进行功能评价。结果：4组120例患者，功能锻炼介入及不同时间的疗效评价观察，B组（4周）康复介入后，功能恢复的效果及评分最优，观察时间在8、10、12周时，评分分别是（54.37±4.50）分、（74.53±4.31）分、（92.07±3.81）分，P＜0.01。结论：踝关节骨折后功能锻炼的介入时间最好在4周左右，此时既不会造成骨折重新移位，又不会造成踝关节功能恢复时间延长，过早或过晚都不利踝关节的功能恢复。
목적：탐색공능단련개입시간대과관절골절후기공능회복적영향。방법：본조120례과관절골절，남62례，녀58례；년령18～69세，평균46.54세。수상지체좌측49례，우측71례。수궤분위A、B、C、D 4조，매조각30례，균행수법복위지협판외고정치료，대복위만의자안A、B、C、D분조분별우3、4、5、6주개시개입수법강복치료。전부환자균우골절후8주、10주、12주접수수방，통과Takakura과관절평분계통진행공능평개。결과：4조120례환자，공능단련개입급불동시간적료효평개관찰，B조（4주）강복개입후，공능회복적효과급평분최우，관찰시간재8、10、12주시，평분분별시（54.37±4.50）분、（74.53±4.31）분、（92.07±3.81）분，P＜0.01。결론：과관절골절후공능단련적개입시간최호재4주좌우，차시기불회조성골절중신이위，우불회조성과관절공능회복시간연장，과조혹과만도불리과관절적공능회복。
Objective:To explore the effects of exercise intervention time on functional recovery of ankle joint fracture.Methods:One hundred and twenty cases of ankle fracture patients were included in the study,among which 62 were male and 58 were female,aged from 18 to 69 years,average 46.54 years old.There were 49 cases injured in left limbs and 71cases in the right limbs.Patients were randomly divided into Group A,B,C,and D,with 30 cases in each.Patients were all treated with manual reduction and paper splint external fixation,and those who gained satisfactory therapeutic effects were given manipulations for rehabilitation intervention accordingly in orders of group A,B,C,D started respectively on the 3rd,4th,5th,and 6th week.All of the patients got follow-ups 8 weeks,10 weeks,and 12 weeks after the fracture with Takakura,a scoring system to evaluate ankle joint functional.Results:Patients in group B who received rehabilitation intervention on the 4th week showed the best recovery effect and scores,and the score observed on the 8th, 10th,and 12th week were respectively (54.37 ±4.50)min,(74.53 ±4.31)min,(92.07 ±3.81)min,P<0.01.Conclusion:The best exercise intervention time after fracture of ankle joint is in about 4 weeks,when neither the fracture would be relocated,nor the functional recovery time of the ankle joint would be extended.