Implementation Effect of PFNA Combined with Integrated Therapy for Postoperative Exercise and Rehabilitation in Elderly Patients with Intertrochanteric Fracture
Objective To analyze the effect of proximal femoral nail antirotation (PFNA) therapy combined with integrated therapy for postoperative exercise and rehabilitation in elderly patients with intervrochanteric fractures.Methods A total of 540 elderly patients with intertrochanteric fractures treated with PFNA from January 2019 to August 2023 were selected as the research objects.According to the random number table method, they were divided into a control group and a study group, with 270 cases in each group.The control group received postoperative routine treatment, and the study group received exercise and rehabilitation integration treatment.The rehabilitation effects of the two groups were compared.Results The time of getting out of bed and fracture healing in the study group were shorter than those in the control group, and the differences between the two groups were statistically significant (P<0.05).The excellent and good rate of hip joint function recovery in the study group was higher than that in the control group, and the incidence of postoperative complications was lower than that in the control group, and the differences between the two groups were statistically significant (P<0.05).6 weeks after operation, the visual analogue scale score of pain in the study group was lower than that in the control group, and the difference was statistically significant (P<0.05).Conclusion When elderly patients with femoral intertrochanteric fracture received PFNA treatment, the postoperative exercise and rehabilitation integrated treatment program can promote the early rehabilitation of patients after operation, improve hip joint function and daily life ability, and can significantly reduce the degree of postoperative pain and postoperative complications, which is worthy of promotion.
AgedFemoral intertrochanteric fracturesProximal femoral nail antirotationIntegration of exercise and rehabilitation treatmentThe effect of implementationHip joint function
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