Definition of fracture rehabilitation (1) Fracture rehabilitation is a branch of medicine dedicated to the study of how to promote functional recovery, with the ultimate goal of restoring function so that patients can get out of pain and go to work and happiness. (2) Fracture rehabilitation therapy is the functional exercise after fracture surgery or conservative treatment (cast, splint, etc.) to enable the patient to finally recover the function. (1) Muscle training: Muscle training should start from the time of fracture and continue until the joint function is fully restored. (2) Joint release exercises: joint distraction. (3) Joint mobility exercises: Continuous passive movement (CPM) is feasible in the early stage, and assisted or active movement is feasible after the pain improves. (4) Walking training: When conditions permit, partial weight-bearing with the help of balance bars and walkers can be gradually transitioned to full weight-bearing under the guidance of a rehabilitation specialist. (5) Non-involved limbs and whole body training: Non-involved limbs and whole body training are provided to avoid complications such as deep vein thrombosis and respiratory infections, and to enhance cardiopulmonary function and the ability to perform activities of daily living. (6) Corresponding cold and heat therapy, electrotherapy, phototherapy and other physical factor therapy cold therapy can be used for joint swelling and prevention of joint swelling after sports training. Heat therapy can be used at the beginning of a week, which has the effect of anti-inflammation and swelling and pain relief. Electrical nerve stimulation can be used for analgesia. Light therapy can be used to promote the healing of injured tissues. 3.The best time for fracture rehabilitation The systematic rehabilitation should be started on the first day after fracture fixation; 1 month after fracture fixation is the key period for rehabilitation, which is important for limb function recovery, missing this period, the function recovery effect will be greatly reduced. (4) How to judge that the fracture has recovered? (1) No local pressure pain and longitudinal percussion pain; (2) No local abnormal activity; (3) X-ray shows that the fracture line is blurred and there is continuous bone scab through the fracture line; (4) The injured limb can meet the following requirements after the external fixation is released: the upper limb can lift 1KG weight forward for one minute; the lower limb can walk continuously for 3 minutes and not less than 30 steps on the flat ground without holding the crutches. (5) No deformation at the fracture site for two consecutive weeks of observation. The main focus is on gentle exercise, such as i walking. Bicycling, etc.; contraindicate strenuous sports such as playing basketball. Play soccer, etc. 5, the rehabilitation method after the fracture (1) the early stage of rehabilitation training, that is, in the first two weeks after the injury. The main purpose of functional exercise in this period is to promote the blood circulation of the affected limb to facilitate the reduction of swelling and stabilize the fracture. The main form of rehabilitation training is to do rhythmic static contraction and relaxation of the injured limb muscles, which can prevent muscle atrophy or adhesion through isometric contraction. (2) The middle period of rehabilitation training is from 2 weeks after the injury to the clinical healing of the fracture. During this period, in addition to continuing the muscle contraction training of the injured limb, gradually change from passive to active activities to prevent the mobility of the joint from decreasing; if the condition allows, get up as early as possible for whole body activities. In addition, physical therapy can be used to reduce swelling, remove blood stasis and promote the formation of bone scabs. (3) At the later stage of rehabilitation training, the bony scab has been formed and the bone has a certain support force. The main form of rehabilitation training is active activities and weight-bearing exercises of the injured limb joints, so that the joints can quickly return to the normal range of activities and normal strength of the limbs. 6.The common complications of fracture rehabilitation are: joint adhesions and ossifying myositis. Joint adhesions are caused by joint bruises, dislocations, swelling for a long time after a fracture, and long-term immobility of the limb, which mainly manifests as joint extension and flexion disorders, causing great inconvenience to working life. Osteochondritis: violence is contraindicated in joint movement exercises. Violence can lead to ligament and its attachment point avulsion, and even fracture; violence can tear off the periosteum, damage the periosteal vessels leading to ossifying myositis, once the ossifying myositis, can be declared incurable or incurable. 7, what to eat after the fracture is conducive to recovery fracture patients in the initial days may be accompanied by a slight systemic symptoms, the rest of the time most do not have systemic symptoms, so and the general health of the daily diet similar to the choice of a variety of diet rich in various nutrients can be. We should pay attention to making food easy to digest and absorb, and be careful with spicy products (chili, raw onion, mustard, pepper) that have adverse effects on the respiratory and digestive tracts. When the systemic symptoms are obvious, the so-called soft food should be given between normal diet and semi-liquid diet, and the food supplied must contain less dregs, easy to chew and digest, and must be chopped and cooked softly, not fried or deep-fried. Fracture patients should also be given different foods according to the development of their condition in the early, middle and late stages of fracture healing to promote hematoma absorption or bone scab production. The fracture patient’s diet has four taboos (1) avoid partial food: fracture patients are often accompanied by local edema, congestion, bleeding, muscle tissue damage, etc. The body itself has the ability to resist repairing these, and the body repair tissue stasis and swelling is mainly dependent on a variety of nutrients, it can be seen that the key to ensure smooth healing of fracture patients is nutrition. (2) Avoid eating things that are difficult to digest: Patients with fractures are restricted in their activities due to the fixation of casts or splints, coupled with the swelling and pain of the injury and mental anxiety, they often lose their appetite. Therefore, food should be nutritious and easy to digest, avoid eating yams, glutinous rice and other easily flatulent or indigestible food, it is appropriate to eat more fruits and vegetables. (3) Do not drink less water: bedridden fracture patients are very inconvenient, so they drink less water to reduce the number of urination, so that although the number of urination is reduced, but the patient has less activity, intestinal peristalsis is weakened, coupled with the reduction of water, it is easy to cause constipation. Therefore, fracture patients want to drink water, do not have to worry a lot. (4) Avoid excessive consumption of white sugar: a large intake of white sugar will cause a sharp metabolism of glucose, which will produce intermediate substances of metabolism, when the alkaline calcium, magnesium, sodium plasma, will be immediately mobilized to participate in the neutralization effect, in order to prevent the blood from becoming acidic. Such a large consumption of calcium will be detrimental to the recovery of fracture patients. 8, divided into three stages of early, middle and late dialectical treatment internal medicine: early: new injury sequel soup. Middle stage: Bone Extension Soup. Late stage: Bazhen Tang plus or minus. Chinese medicine: early stage: blood circulation and pain relief capsule. Mid-term: wound jointing tablets, etc. Late stage: Jian Bu Hu Qian Wan, etc. Externally applied drugs: drug fumigation: Hai Tong Pi Tang, etc. External ointment: swelling dissipation, etc. External application of medicine: Orthopedic water, etc. Hot lieutenant medicine: Kanli sand, etc.