镜下前盂唇修复与Remplissage术的护理和康复

Standardized nursing and rehabilitation for arthroscopic anterior labrum repair and Remplissage procedure

摘要:

［目的］ 评价镜下前盂唇修复与 Remplissage 术的护理和康复的临床效果。［方法］ 2014 年 1 月—2020 年 12 月，对 60 例复发性肩关节前脱位患者行肩关节镜下盂唇修补联合 Remplissage 术，给予标准化的护理和康复，评价其临床效果。［结果］ 所有患者均顺利完成手术，无严重并发症，随访时间 12.0~24.0 个月，平均 （15.6±3.2） 个月。术前相比，末次随访时 ASES 评分、Constant-Murley 评分、SST 评级、上举 ROM 和外旋 ROM 均显著改善（P<0.05）。随访过程中，所有患者均无再脱位，无疼痛或功能障碍加剧，无翻修手术。末次随访时，所有患者均恢复伤前工作，56 例 （93.3%） 恢复到伤前的运动水平。 ［结论］标准化护理和康复对于镜下前盂唇修复与 Remplissage 术术后关节功能恢复具有积极的作用。

Abstract:

[Objective] To evaluate the clinical outcome of standardized nursing and rehabilitation forarthroscopic anterior labrum re- pair and Remplissage procedure. [Methods] From January 2014 to December 2020, a total of 60 patients underwent shoulder arthroscopic labial repair combined with Remplissage procedure, and standardized nursing and rehabilitation for recurrent anterior shoulder dislocation. The clinical outcomes were evaluated. [Results] All patients were successfully operated on without serious complications and followed up time for 12.0~24.0 months with a mean of (15.6±3.2) months. Compared with those preoperatively, ASES and Constant-Murley scores, SST scale, lifting and external rotation range of motions (ROM) significantly improved at the latest follow-up (P＜0.05) . During follow-up, no redislocation, pain or dysfunction deterioration, or revision surgery happened in anyone of them. At the latest follow-up, all patients finally re- turned to their pre-injury work, and 56 patients (93.3%) returned to their pre-injury exercise level. [Conclusion] The standardized nursing and rehabilitation have a positive effect on function recovery after arthroscopic anterior labrum repair and Remplissage procedure.