Application effect of targeted rehabilitation intervention on the adjuvant treatment of children with refractory supracondylar humeral fractures treated by closed sled pulling
Objective To analyze the application effect of targeted rehabilitation intervention on the adjuvant treatment of children with refractory supracondylar humeral fractures by closed sled pulling.Methods The data of 281 children with refractory supracondylar humeral fractures admitted to our hospital from June 2019 to June 2022 were retrospectively collected.According to different postoperative intervention methods,patients were divided into the control group(postoperative routine rehabilitation intervention,n = 123)and the observation group(targeted rehabilitation intervention,n=158).Three months after the intervention,the excellent and good rate of elbow joint function,elbow joint range of motion,compliance,satisfaction rate and complications were compared between the two groups.Results The excellent and good rate of elbow joint function in the observation group after treatment was significantly higher than that of the control group(97.47%vs 91.05%,P<0.05).After the intervention,the flexion of the elbow joint in the two groups significantly increased compared with that before the intervention,and the range of motion of the extension significantly decreased(P<0.05).After the intervention,the elbow joint flexion in the observation group was significantly greater than that of the control group,and the straightening activity was significantly lower than that of the control group(P<0.05).The compliance and satisfaction rates in the observation group were significantly higher than those of the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that of the control group(1.26%vs 6.50%,P<0.05).Conclusion Targeted rehabilitation intervention can promote the recovery of elbow joint function,improve the treatment compliance and efficacy and reduce the incidence of complications in children with refractory supracondylar humeral fractures.
targetedrehabilitationclosed sled reduction and percutaneous pinningrefractory supracondylar humeral fractures