Effect of Early Rehabilitation Training Combined with Closed Reduction and Percutaneous Hollow Nail Fixation on Salter-Harris Ⅲ Epiphyseal Fracture of Medial Malleolus in Children
ZHANG Li, ZHAO Ming-jia, HUANG Nan-xiang, et al
Department of Pediatric Surgery, the Central Hospital of Nanchong City, Sichuan Province, 637000, Nanchong, Sichuan Province, China
Abstract：【Objective】To investigate the effect of early rehabilitation training combined with closed reduction and percutaneous hollow nail fixation on Salter-Harris Ⅲ epiphyseal fracture of medial malleolus in children.【Methods】From January 2014 to January 2016, 36 children with Salter-Harris type Ⅲ epiphyseal fracture of medial malleolus were randomly divided into two groups: study group (n=18) and control group (n=18). The control group was treated with closed reduction and internal fixation with percutaneous hollow nail and functional exercise began after the fracture line was blurred. The study group received early rehabilitation training after operation and the ASOFAS rehabilitation scores, the rate of satisfaction and the occurrence of complications of the two groups were compared.【Results】The excellent and good rates of the observation group were 66.67% and 83.33% at 4 months, 8 months and 12 months, respectively, which were significantly higher than that of the control group (55.56%). The difference was statistically significant (P<0.05). The satisfaction rate of the observation group was 88.89%, which was significantly higher than that of the control group (66.67%). The difference was statistically significant (P<0.05). In the control group, there were 2 cases of incision infection, 1 case of malleolus varus malformation and 1 case of delayed fracture healing. In the study group, the fracture of internal fixation occurred in 1 case (P<0.05).【Conclusion】Early rehabilitation training combined with closed reduction and internal fixation with percutaneous hollow nail for the treatment of Salter-Harris Ⅲ epiphyseal fractures of the medial malleolus in children is helpful to improve the rehabilitation effect of children and accelerate the recovery of joint function in children. Effective reduction of complications, children are more satisfied with the treatment.
张力,赵明佳,黄南翔,黄鑫. 早期康复训练联合闭合复位经皮空心钉内固定对儿童内踝Salter-HarrisⅢ型骨骺骨折的康复效果分析[J]. 医学临床研究, 2018, 35(2): 209-211,215.
ZHANG Li, ZHAO Ming-jia, HUANG Nan-xiang, et al. Effect of Early Rehabilitation Training Combined with Closed Reduction and Percutaneous Hollow Nail Fixation on Salter-Harris Ⅲ Epiphyseal Fracture of Medial Malleolus in Children. JOURNAL OF CLINICAL RESEARCH, 2018, 35(2): 209-211,215.
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2018, Vol. 35 
