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| Effect of dynamic-static equilibrium principle on postoperative recovery of joint function in children with supracondylar fracture of humerus |
| CHENG Xin ZHANG Qinfei |
| Department of Tramotology and Orthopedics, Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China |
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Abstract Objective To investigate the effect of dynamic-static equilibrium principle on postoperative recovery of joint function in children with supracondylar fracture of humerus (SFH). Methods 72 SFH children in our hospital from February 2015 to August 2016 were selected, and they were treated with open reduction and percutaneous Kirschner internal fixation. All the children were divided into two groups by random number table, 36 cases in each group. Experimental group was given functional rehabilitation based on dynamic-static equilibrium principle, while control group was given functional rehabilitation based on traditional rehabilitation principle. The rehabilitation time of fracture, flexion-extension angle of elbow joint, postoperative two-week pain degree [visual analogue scale score (VAS), the face, legs, activity, cry, consolability behavioral tool (FLACC)], postoperative twelve-week rehabilitation of elbow joint, complications in two groups were recorded. Results The rehabilitation time of fracture in experimental group was shorter than control group, while the flexion-extension angle of elbow joint was larger than control group, the differences were statistically significant (P < 0.01); the excellent rate of rehabilitation of elbow joint in experimental group was 97.22% (35/36), which was higher than 80.56% (29/36) in control group, the differences were statistically significant (P < 0.05); after surgery for two weeks, the scores of VAS, FLACC in experimental group were lower than control group, the differences were statistically significant (P < 0.01); the incidence of complications in control group was higher than that in experimental group, but there was no statistical difference (P > 0.05). Conclusion Functional exercise based on dynamic-static equilibrium principle for SFH children can shorten the rehabilitation time of fracture, promote recovery of elbow joint, enlarge the flexion-extension angle of elbow joint, decrease postoperative pain, reduce complications and have higher safety.
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