CAJ | 학술논문

目的探讨应用全关节镜下双纽扣钢板固定技术治疗急性肩锁关节脱位的康复护理.方法 2007年8月至2009年3月,对8例肩锁关节脱位的患者进行肩关节镜下双纽扣钢板固定技术行喙锁韧带重建,术后制定系统的康复护理计划、分阶段进行肢体功能康复锻炼,在确保安全的前提下督促患者尽早进行主动和被动功能锻炼,定期随访.术后3个月、6个月和1年分别进行随访,用Constant 评分和疼痛视觉模拟评分(VAS评分)进行疗效评价,并拍摄X线片确定有无再发脱位及半脱位.结果 8例患者均获得3个月以上随访,平均7.2个月.术后3个月Constant评分平均为93.9分,VAS 评分平均为1.75分,其中1例仍有肩锁关节疼痛,肩关节活动范围轻度受限；术后6个月时所有患者均无明显疼痛,对肩关节功能均满意,x线片显示无再发脱位.结论肩关节镜下应用双纽扣钢板固定技术行喙锁韧带重建术是治疗肩锁关节脱位的一种有效方法,术后的康复治疗与手术同等重要,完善的术后康复计划是肩关节达到良好功能恢复的必备条件,也是提高患者满意度的重要措施.
목적 탐토응용전관절경하쌍뉴구강판고정기술치료급성견쇄관절탈위적강복호리.방법 2007년8월지2009년3월,대8례견쇄관절탈위적환자진행견관절경하쌍뉴구강판고정기술행훼쇄인대중건,술후제정계통적강복호리계화、분계단진행지체공능강복단련,재학보안전적전제하독촉환자진조진행주동화피동공능단련,정기수방.술후3개월、6개월화1년분별진행수방,용Constant 평분화동통시각모의평분(VAS평분)진행료효평개,병박섭X선편학정유무재발탈위급반탈위.결과 8례환자균획득3개월이상수방,평균7.2개월.술후3개월Constant평분평균위93.9분,VAS 평분평균위1.75분,기중1례잉유견쇄관절동통,견관절활동범위경도수한；술후6개월시소유환자균무명현동통,대견관절공능균만의,x선편현시무재발탈위.결론 견관절경하응용쌍뉴구강판고정기술행훼쇄인대중건술시치료견쇄관절탈위적일충유효방법,술후적강복치료여수술동등중요,완선적술후강복계화시견관절체도량호공능회복적필비조건,야시제고환자만의도적중요조시.
Objective To evaluate the rehabilitation nursing care of double endo-button technique under total arthroscope for acute acromioclavicular joint dislocation.Methods From August 2007 to March 2009,8 cases (8 shoulders,6 males and 2 females,22 - 53 years old,mean age 34.4 ) with acute acromioclavicular joint dislocation ( Rockwood type Ⅲ) were treated in author' s hospital.After surgery we made systemic rehabilitation care plan,phased into the body functional rehabilitation exercises,under the premise of ensuring safety of patients as soon as possible to urge the active and passive functional exercise,regular follow-up.Radiographic analysis and the Constant scores and VAS ( Visual Analogue Scale) were used to provide a final evaluation of shoulder function for 3 months,6 months and 12 months after operation.Results All of 8 patients were followed up for more than 3 months( average 7.2 months).The Constant score averaged 93.9,with a mean VAS score of 1.75.There were no patients with A-C joint re-dislocation during this period after analyzing X-ray,but VAS score of 1 patient was 4 by 3 months.The operation for 8 cases was satisfactory.Most patients returned to their pre-injury activity level.Conclusions Total sxthrosocopic double endo-button technique for reconstruction of coracoclavicular ligament is an effective approach to treatment of fresh Rockwood Ⅲ acromioclavicular dislocation. This approach enjoys earlier recovery and less complication. Postoperative rehabilitation nursing is as important as surgery,not only for good functional recovery,but also for patient satisfaction.