Observation on the effect of accelerated rehabilitation program of integrated Chinese and Western medicine on 69 cases of acute Achilles tendon repair
SI Gao,ZHANG Chi,LI Xiu-zhi
Abstract:
Objective To explore the clinical efficacy of accelerated rehabilitation by combining Chinese and Western medicine in the early period after acute Achilles tendon rupture repair. Methods The data of 130 patients with acute Achilles tendon rupture admitted to the Department of Orthopaedics of Peking University Third Hospital from May 2023 to November 2023 were retrospectively analyzed. Patients were categorized into the early postoperative acupuncture accelerated rehabilitation group (accelerated rehabilitation group, n=69) and the traditional rehabilitation group(n=61) according to the mode of rehabilitation they received after surgery. The same surgical technique was used in all patients and the occurrence of postoperative complications was recorded in both groups. Postoperative wound pain was assessed using the visual analogue scale (VAS) at postoperative days 1, 4, 7, 14, 28 d. And the recovery of postoperative swelling of the affected limb was evaluated by comparing the difference in calf circumference and mid-foot circumference between the affected and healthy sides of the two groups of patients. Heel lift height and heel lift time of the affected limb were recorded at postoperative month 3 in both groups. And The Achilles tendon Total Rupture Score (ATRS), the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Score and the Holden Walking Ability Classification Scale (HWAC) were used for functional evaluation. Results The accelerated rehabilitation group had lower VAS scores at 4 days and 7 days postoperatively, the resolution of swelling in the affected limb was more pronounced at 4 days and 7 days after surgery, the affected limb had a higher unipedal heel-lift height and a longer heel-lift time at 3 months postoperatively. There was no statistically significant difference in ATRS score, AOFAS ankle-hindfoot score and HWAC between the two groups at 3 months postoperatively. Conclusion Compared to traditional rehabilitation models, the use of combined Chinese and Western medicine to accelerate rehabilitation after acute Achilles tendon rupture repair can effectively reduce the pain of patients within 7 days after surgery, accelerate the speed of the swelling of the affected limb to subside, and facilitate the early functional exercise of patients. And patients who were rehabilitated with this model had higher and longer unipedal heel raises in the affected limb at 3 months postoperatively.
