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
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.
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