Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury
Objective To observe the therapeutic effect of early postoperative comprehensive rehabilitation on elbow joint dysfunc-tion and ulnar nerve injury in children and adolecents with supracondylar fracture of humerus complicated with ulnar nerve injury.Methods A total of 49 children with supracondylar fracture of humerus complicated with ulnar nerve injury after opera-tion were selected from January,2016 to December,2021 in Wangjing Hospital,which were randomly divided in-to control group(n = 24)and treatment group(n = 25).The control group accepted wax therapy and acupuncture,and the treatment group accepted medicine fumigation,joint mobilization and electromyographic biofeedback,for twelve weeks.They were assessed with The Hospital for Special Surgery Elbow score(HSS)and Medical Re-search Neurotrauma Society Report(MCRR)before and after treatment.Results After treatent,the HSS scores increased in both groups(|t|>8.345,P<0.001).The HSS score was significantly higher in the treatment group than in the control group(t = 4.536,P<0.001).The d-value of HSS scores before and after treatment was significantly higher in the treatment group than in the control group(t = 3.717,P<0.05).The rate of excellent recovery of ulnar nerve function was significantly higher in the treatment group than in the control group(χ2 = 5.975,P<0.05).Conclusion Early postoperative comprehensive rehabilitation could romote the recovery of elbow function and ulnar nerve injury in children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury.