Abstract:[Objective] To compare the clinical efficacy of percutaneous anterior talofibular ligament (ATFL) and calcaneofibular liga- ment (CFL) reconstruction versus arthroscopic ATFL repair for chronic lateral ankle instability. [Methods] A retrospective study was done on 35 patients who underwent surgical treatment for chronic lateral ankle instability in our hospital from October 2015 to July 2020. Accord- ing to doctor-patient communication, 19 patients were treated with percutaneous reconstruction of ATFL and CFL (the percutaneous group) , while the remaining 16 patients received arthroscopic repair of ATFL (the arthroscopic group) . The documents regarding to perioperative pe- riod, follow-up and stress radiographs were compared between the two groups. [Results] All the patients in both groups had operation per- formed successfully without serious complications such as neurovascular injury. The percutaneous group proved significantly inferior to the arthroscopic group in terms of operation time, incision length, intraoperative blood loss and hospital stay (P＜0.05) . All patients in both groups were followed up for more than 24 months, and the percutaneous group resumed full weight-bearing activity significantly later than the arthroscopic group (P＜0.05) . The VAS decreased significantly (P＜0.05) , while AOFAS and KAFS scores increased significantly over time in both groups (P＜0.05) , whereas the ankle dorsal extension – plantar flexion range of motion (ROM) remained unchanged (P＞0.05) . At any corresponding time points, there was no significant difference in the above items between the two groups (P＞0.05) . Radiographically, the talus inclination angle under varus stress and talus anterior displacement under anterior drawer stress significantly reduced in both groups at 12 and 24 months after operation compared with those preoperatively (P＜0.05) , while the Kellgren-Lawrence classification for os- teoarthritis remained unchanged (P＞0.05) . Although there was no significant difference in talus inclination and talus anterior displacement between the two groups before operation (P＞0.05) , the percutaneous group proved significantly superior to the arthroscopic group in talus in-clination and talus anterior displacement at 12 and 24 months postoperatively (P＜0.05) . However, there was no significant difference in Kell- gren-Lawrence classification of ankle osteoarthritis between the two groups at any corresponding time points (P＞0.05) . [Conclusion] The arthroscopic repair of ATFL has advantages of less iatrogenic trauma and faster recovery, while the percutaneous reconstruction of ATFL and CFL regains better ankle stability, which is suitable for people with higher requirements of ankle function.

Abstract:[Objective] To investigate the clinical efficacy of 3D printing-assisted open reduction and internal fixation (ORIF) of Sand- ers type III calcaneal fractures. [Methods] A retrospective study was performed on 80 patients who underwent ORIF for Sanders type III cal- caneal fractures in our hospital from June 2017 to September 2019. According to preoperative doctor-patient communication, 43 patients were treated with 3D printing assisted ORIF, while the remaining 37 patients were with conventional ORIF. The perioperative, follow-up and imaging data were compared between the two groups. [Results] All the patients in both groups had operation completed successfully without serious complications. The 3D group proved significantly superior to the conventional group in terms of operation time, total incision length, intraoperative blood loss, intraoperative fluoroscopy times, postoperative ambulation, incision healing grade and hospital stay (P＜0.05) . All patients were followed up for (16.2±4.9) months on an average, and the 3D group resumed full weight-bearing activity significantly earlier than the conventional group (P＜0.05) . The VAS scores decreased significantly (P＜0.05) , while the AOFAS score, Maryland score and foot varus- valgus range of motion (ROM ) increased significantly in both groups over time postoperatively (P＜0.05) , which in the 3D group proved significantly superior to the conventional group at all corresponding time point after surgery (P＜0.05) . With regard to imaging, the calcaneal width, calcaneal height, Gissane angle and Bohler angle significantly improved in both groups after operation compared with those before operation (P＜0.05) , whereas which were of no significant difference between the two groups at any corresponding time points (P＞ 0.05) . [Conclusion] 3D printing-assisted open reduction and internal fixation of Sanders type III calcaneal fractures does shorten the opera- tion time, reduce the amount of blood loss, promote functional recovery and reduce complications.

Abstract:[Objective] To explore the factors related to vertebral fracture (VF) in Duchenne muscular dystrophy (DMD) in children. [Methods] A retrospective study was conducted on the clinical data of DMD patients who admitted to the multidisciplinary joint outpatient de- partment of DMD in General Hospital of PLA from July 2021 to September 2022. The children were divided into VF group and non-VF group according to the presence or absence of VF. The factors related to VF were analyzed by univariate comparison, binary multiple logic analysis and receiver operating characteristic (ROC) . [Results] A total of 93 children were included in this study, and all of them were male, aged from 3.9 to 15.4 years old with an average age of (8.7±2.6) years old. Among them, 19 cases proved VF, accounting for 20.4%; while the remaining 74 cases were of non-VF, accounting for 79.6%. Among them, 56 children were treated with hormone therapy, 17 cases (30.4%) were with VF and 39 cases (69.6%) were with non-VF. In term of univariate comparison, the VF group had significantly greater the time of hormone taking, age and supine-standing position time, whereas significantly less lumbar bone mineral density Z value (LBMD-Z) than the non-VF group, with statistical significance (P＜0.05) . As results of logistic regression, hormone taking duration (OR=2.880, P=0.001) and supine-standing time (OR=1.115, P=0.015) were independent risk factors for VF, while LBMD-Z value (OR=0.102, P＜0.001) , age (OR=0.511, P=0.021) was the protective factor for VF. In term of receiver operating characteristic (ROC) analysis, the aera under curve (AUC) of LBMD-Z value and hor- mone administration duration ranged from 0.7 to 0.9, which had a good value in predicting VF. [Conclusion] The VF in DMD patients is the result of the combined action of multiple factors. Targeted measures to the impacting factors might be helpful to reduce the occurrence of VF.

Abstract:[Objective] To explore the effect of anterior cervical discectomy and fusion (ACDF) on radiographic parameters of the cervi- cal spine and the correlation between imaging parameters and clinical scores. [Methods] A retrospective study was conducted on 128 pa- tients who received ACDF for cervical degenerative diseases (CDD) in our hospital from April 2019 to April 2021. The correlation between clinical score and imaging measurement was analyzed. [Results] All patients had ACDF performed successfully without serious complica- tions, and followed up for 12~20 months with an average of (14.5±1.9) months. The JOA score increased significantly (P＜0.05) , while the NDI and VAS scores decreased significantly over time (P＜0.05) . In terms of radiographic measurements, the C₁ inclination angle remained unchanged over time (P＞0.05) , whereas the C₂ inclination angle significantly reduced at 1 year after surgery (P＜0.05) , the upper cervical curvature significantly reduced at 1 year after operation compared with that before surgery (P＜0.05) , and the lower cervical curvature tended to first rise and then decreased with statistically significant differences over time (P＜0.05) . As results of correlation analysis, preoperative JOA score was negatively correlated with the C₁ inclination angle (P＜0.05) , additionally, the NDI score was positively correlated with C₂ in- clination angle (P＜0.05) . At 1 year postoperatively, the JOA score proved still negatively correlated with the C₁ inclination angle (P＜0.05) , whereas NDI score was positively correlated with C₂ inclination angle (P＜0.05) . However, no correlation was found between other clinical and radiological parameters (P＞0.05) . [Conclusion] The ACDF does improve cervical function and quality of life of the patients, and imag- ing parameters might reflect clinical outcomes to a certain extent.

Abstract:[Objective] To compare the clinical outcomes of locking plate combined with fibular strut allograft versus granular bone al- lograft for Neer three- and four-part proximal humeral fractures complicated with compressive bone defect in the elderly. [Methods] A ret- rospective study was conducted on 66 elderly patients who received locking plate combined with bone allografting for proximal humeral frac- tures complicated with compressive bone defect in our hospital from January 2012 to December 2019. Among them, 31 patients received fibular strut allograft, while the remaining 35 received granular bone allografts. The two groups were compared regarding to perioperative, follow-up, and radiographic data. [Results] All patients in both groups had surgical procedures finished successfully without statistical dif- ferences between the two groups in terms of operation time, intraoperative fluoroscopic frequency, blood loss, incision healing and hospital stay (P＞0.05) , and followed up for more than 12 months. At 12 months postoperatively, the Constant-Murley score (CMS) , American Shoul- der and Elbow Surgeons (ASES) score, forward flexion range of motion (ROM) , and abduction ROM of the shoulder were significantly im- proved in both groups compared with those at 6 months postoperatively (P＜0.05) , whereas which proved not statistically significant be- tween the two groups at any matching time points (P＞0.05) . Radiographically, although there were no significant differences in term of frac- ture reduction quality and fracture healing time on images between the two groups (P＞0.05) , the strut group proved significantly superior to the granular group in terms of variation of neck-shaft angle (VNSA) and variation of humeral head height (VHHH) (P＜0.05) . [Conclusion] The locking plate combined with both strut bone allografting and granular bone allografting does achieve similar satisfactory clinical out- comes for Neer 3- or 4-part proximal humeral fractures complicated with compressive bone defect in the elderly. However, the fibular strut allograft has a better capacity to maintain the NSA and HHH.

Abstract:[Objective] To compare the clinical outcomes of femoral neck system versus cannulated compression screws for femoral neck fracture in young and middle- aged patients by a meta- analysis. [Methods] The electronic databases were searched before March 2022, including PubMed, Embase, Cochrane Library, Wanfang, CNKI, and VIP databases for published researches on FNS versus CCS for femoral neck fracture. RevMan 5.4 software was used to conduct meta-analysis of the data. [Results] A total of 10 articles were included into this study, involving 324 patients who had FNS used, while 374 patients who had CCS performed. As results of the meta-analysis, the FNS group proved significantly superior to the CCS group in terms of the fluoroscopy frequency, postoperative weight-bearing time, fracture heal- ing time, femoral neck shortening length, and Harris score (P＜0.05) , whereas the FNS group was significantly inferior to the CCS group in the intraoperative blood loss and incision length (P＜0.05) . In addition, the FNS group was significantly superior to the CCS group in terms of occurrence of internal fixation failure and the femoral neck shortening (P＜0.05) . However, there were no significant differences in operation time, hospital stay, incidences of nonunion and avascular necrosis of the femoral head between the two groups (P＞0.05) . [Conclusion] The FNS takes advantages of earlier postoperative weight-bearing activity, earlier fracture healing, lower incidences of femoral neck shortening and internal fixation failure over the CCS for internal fixation of femoral neck fractures in young and the middle-aged, and is beneficial to re- cover the hip functional capacity.

Abstract:[Objective] To evaluate the imaging measurement, pathological mechanism and clinical significance of coronal tibiofemoral subluxation (CTFS) . [Methods] As PubMed, Embase, Cochrane Library, Web of Science and other international medical databases were searched with "tibiofemoral", "tibial and femoral", "instability", "subluxation", "dislocation" and "CTFS" as the key words, the related litera- tures were selected manually according to the inclusion criteria. [Results] A total of 18 articles were included, of which 16 reported imaging measurement methods, 6 reported mechanism and risk factors, and 10 reported clinical issues. At present, there is no unified standard for Xray measurement of CTFS, while there are few studies on the mechanism of CTFS still with controversies. Currently, the accepted theory is that the lateral ligament structure of the knee joint is relatively relaxed. CTFS is a common radiographic manifestation of KOA, but is not of value in determining the severity of KOA. In terms of clinical symptoms, current research is still controversial. [Conclusion] The mainstream view of CTFS is that it is not related to the severity of KOA. However, attention should be paid to this problem in the stepwise treatment of knee osteoarthritis to avoid complications due to poor ligament stability.

Abstract:Periostin (POSTN) , an extracellular matrix protein, is expressed at a low level in most normal tissues and cells, but highly expressed in pathological sites. POSTN leads to the occurrence and development of disease by binding to integrins on the cell surface and activating many signaling pathways, such as Wnt/ β-catenin, NF- κ B and so on. In recent years, it has been found that POSTN is highly expressed in chondrocytes of osteoarthritis (OA) , and accelerates the progress of OA by promoting the degradation of extracellular matrix (ECM) and up-regulating inflammatory factors in chondrocytes. Moreover, recent studies have shown that the expression of POSTN is also increased in degenerative intervertebral disc cells, and POSTN may be a key factor in the regulation of intervertebral disc degeneration (IVDD) . In addition, POSTN can also promote bone formation, regeneration and repair, and provide a new direction for the treatment of os- teoporosis. This article reviews the characteristic and mechanism of POSTN in the regulation of bone degenerative diseases.

Abstract:Rotator cuff tear is one of the common shoulder diseases in clinics. However, the treatment of irreparable rotator cuff tear (IRCT) is a huge challenge. In recent years, minimally invasive arthroscopy has developed rapidly, while understanding to IRCT has been deepened, and the concept of diagnosis and treatment has changed greatly. This article reviews the research progress in treatment of IRCT.

Abstract:Kümmell’s disease is a nonunion of vertebral body compression fractures after minor spinal trauma with unclear pathogene- sis. It may be caused by the interaction of multiple factors, such as avascular necrosis of the vertebral body and the formation of pseudoarthro- sis in the vertebral body. The main clinical manifestation of Kümmell’s disease is delayed chronic low back pain, while the imaging feature is vertebral body collapse with vacuum fissure sign. For stage I and II Kümmell’s disease percutaneous vertebroplasty and percutaneous kypho- plasty have been proved good results. For stage III Kümmell’s disease, open surgery is preferred , however, the choice of surgical approaches varies according to the patient’s condition.

Abstract:Glucocorticoid (GC) has been widely used in the treatment of internal diseases. However, glucocorticoid-induced osteoporo- sis (GIOP) , one of GC adverse effects, is still a serious clinical problem. Currently, the mechanism of GIOP remains unclear, but recent stud- ies show that it might be closely related to cell senescence caused by stress and other factors, in other word, cell senescence may be involving pathogenesis of GIOP. The glucocorticoid induces the senescence of bone tissue cells, and then the senescent cells secrete senescence-asso- ciated secreted phenotype (SASP) by paracrine to produce the cascade amplification reaction of cell senescence and finally form GIOP. This article reviews the relationship between cell senescence and GIOP, related mechanisms and targeted blocking measures.

Abstract:Percutaneous kyphoplasty (PKP) has been increasingly used for painful osteoporotic vertebral compression fracture (OVCF) , while bone cement leakage is one of its common complications. In clinical practice, the most patients with bone cement leakage have no symptoms, but a few patients with severe symptoms need be re-operated to remove the leaked bone cement. We reported a case of paraverte- bral leakage of bone cement secondary to PKP for OVCF who underwent revision surgery to remove the paravertebral bone cement leakage block due to dull pain in the right lower abdomen. In addition, the related literatures were reviewed in this article.

Abstract:[Objective] To explore the effect of andrographolide (Andro) on the biological behavior of rat nucleus pulposus cells (NPCs) in vitro and its mechanism. [Methods] NPCs were treated with tert-buttyl hydroerioxide (TBHP) to construct apoptosis model. The normal NPCs and TBHP-induced NPCs were treated with different concentrations of Andro, CCK8 assay for toxicity was conducted to select the op- timal concentration and time of Andro action. The cells were divided into blank control (BC) group, TBHP (T) group, TBHP+Andro (TA) group, TBHP+Andro+PI3K inhibitor (LY294002) (TA-Pih) group and TBHP+PI3K inhibitor (T-Pih) group, and were given corresponding treatment in vitro. The cell apoptosis was detected by flow cytometry, the levels of inflammatory cytokines were detected by ELISA, and the protein expression levels of apoptotic markers were detected by Western blot. [Results] The optimum concentration and reaction time of An- dro were 18μmol/L and 24 h respectively. Compared with the BC group, the apoptosis rate, TNF-α, IL-1β, IL-6 levels and Bax protein lev- el in the T group were significantly increased (P＜0.05) , while the protein levels of Bcl-2 and p-Akt were significantly decreased (P＜0.05) . Compared with the T group, the apoptosis rate, TNF-α, IL-1β, IL-6 levels and Bax protein level in the TA group were significantly de- creased (P＜0.05) , while the protein levels of Bcl-2 and p-Akt were significantly increased (P＜0.05) , while which as a trend was opposite in the T-Pih group. Compared with the T-Pih group, the apoptosis rate, TNF-α, IL-1β, IL-6 levels and Bax protein level in the TA-Pih group were significantly decreased (P＜0.05) , while the protein levels of Bcl-2 and p-Akt were significantly increased (P＜0.05) . [Conclusion] Andro does inhibit cell apoptosis and reduce the level of inflammatory cytokines, which may be related to the regulation of PI3K/Akt pathway.

Abstract:[Objective] To introduce the surgical technique and preliminary clinical results of open reduction and internal fixation (OR- IF) of femoral neck fractures via supercapsular percutaneously assisted total hip approach (SuperPath) . [Methods] Twenty one patients re- ceived ORIF through the SuperPath for femoral neck. After a lateral incision above the greater trochanter was made, the posterior edge of the gluteal medius was separated to expose the upper capsule by separation of the space between the gluteus minimus and piriformis. Capsuloto- my was conducted to expose the fractured site of the femoral neck, and identify the fracture compression and bone defect of the posterosuperi- or femoral neck. Reducing fracture to restore the neck shaft angle and anteversion with a strut bone block autograft harvested form the iliac crest packed into the bone defect, the fractures were fixed by 3 cannulated screws. [Results] All patients had the surgical procedures per- formed smoothly without serious complications, such as neurovascular injuries, and were followed up for 12~26 months. Except one patient who had revision total hip arthroplasty due to necrosis of femoral head accompanied with screw withdrew during the follow-up, all patients got satisfactory functional recovery with Harris score of (85.0±9.4) at 12 months postoperatively. Radiographically, all patients got solid frac- ture healing without significant changes of femoral neck shortening transversely and vertically at 12 months postoperatively compared with those before full weight-bearing activity (P＞0.05) . [Conclusion] This ORIF combined with bone autografting via SuperPath does reduce the possibility of femoral neck shortening, improve fracture healing, and achieve satisfactory clinical outcome for femoral neck fractures.

Abstract:[Objective] To investigate the clinical outcomes of pedicle screws and laminar screw (the double- stable construct) com- bined with isthmus bone autografting for symptomatic lumbar spondylolysis in adolescents. [Methods] A retrospective study was performed on 33 adolescent patients who received abovesaid surgical procedures for symptomatic lumbar spondylolysis in our hospital from January 2019 to December 2021. Clinical and imaging data were evaluated. [Results] All patients had operation performed successfully without seri- ous complications. Among the 9 patients with Grade I spondylolisthesis before surgery, 8 patients were confirmed to have achieved anatomic reduction under fluoroscopy, with a reduction rate of 88.9%. With time of follow-up lasted for more than 12 months, VAS and ODI scores de- creased significantly (P＜0.05) . In terms of imaging, the bony healing time of isthmus ranged from 3 months to 12 months. At the last followup, all the patients got isthmic bony healing except 2 patients, with healing rate of bone grafting of 93.9%, whereas with no loosening and fracture of the implants, nor degeneration of adjacent segments. [Conclusion] This double-stable construct fixation combined with isthmic bone grafting has the advantages of short operation time, less complications, fast recovery and high isthmus healing rate for symptomatic lum- bar spondylolysis in adolescent.

Abstract:[Objective] To explore the causes of re-dislocation after arthroscopic loop-plate suspension fixation of the acromioclavicu- lar dislocation (ACD) . [Methods] A total of 36 patients received loop-plate suspension fixation for ACD in our department. The patients were followed up to determine the occurrence of postoperative re-dislocation, and analyze the specific reason. [Results] All patients had ACD reduced and fixed successfully without serious complications and were followed up for more than 6 months. Compared with those pre- operatively, the Constant-Murley and ASES scores significantly increased at 6 months after operation (P＜0.05) , the coracoclavicular dis- tance (CCD) measured on images decreased significantly (P＜0.05) . Re- dislocation was found in 3 patients, accounting for 8.3% . The causes of re- dislocation were poor bone tunnel positioning in 1 case, osteoporosis in 1 case, and premature weight bearing activity in 1 case. [Conclusion] Re-dislocation does still occur after loop-plate suspension fixation under shoulder arthroscopy for ACD. The reasons in- clude poor bone tunnel positioning, osteoporosis and premature weight bearing activity.

Abstract:[Objective] To investigate the clinical outcomes of anatomical reconstruction of spinal canal after intraspinal tumor resec- tion. [Methods] From February 2013 to May 2017, 48 patients underwent anatomical reconstruction of spinal canal with central piece plate secondary to intraspinal tumor resection. The clinical and imaging findings were evaluated. [Results] All the patients had operation complet- ed smoothly without serious complications, and were followed up for (35.8±13.6) months on an average. The VAS and ODI scores significant- ly decreased (P＜0.05) , while the ASIA neurological function grade significantly improved over time (P＜0.05) . Radiographically, all patients got tumors removed completely with sufficient dural decompression at 1 week after operation. Three months after operation, the CT three-di- mensional reconstruction showed that the re-implanted lamina healed well, and the segment ROM and spinal canal area significantly in- creased after operation (P＜0.05) , whereas no spinal deformity, spinal instability or spondylolisthesis and tumor recurrence were found in anyone of them. [Conclusion] Anatomical reconstruction of the spinal canal with central piece plate after intraspinal tumor resection does maintain the volume of the spinal canal and the integrity of the spinal bone-ligament structure.

Abstract:[Objective] To investigate the surgical technique and clinical outcome of Maisonneuve fractures. [Methods] A retrospective study was conducted on a total of 13 patients who were surgically treated for Maisonneuve fractures in our department from September 2017 to June 2020. All patients suffered from upper fibular fracture, medial malleolus and posterior malleolus fractures, and separation of the infe- rior tibiofibular syndesmosis. Clinical and imaging findings were evaluated. [Results] All the 13 patients had operation performed successful- ly without fixation of the proximal fibula fracture, whereas with inferior tibiofibular syndesmosis fixed by 2 screws through 3 layers of cortex. No serious complications, such as neurovascular injury, happened in anyone of them during the operation. As time went in follow-up lasted for (21.7±8.0) months on average, the dorsal extension- plantar flexion range of motion (ROM) , AOFAS and Olerud-Molander score in- creased significantly (P＜0.05) , but the varus-valgus ROM remained unchanged (P＞0.05) . Radiographically, satisfactory fracture reduction was achieved in all patients, and no significant changes in TTA, overall ankle alignment, and Morrey-Wiedeman grade of ankle degeneration were noted over time postoperatively (P＞0.05) . [Conclusion] The reduction of the inferior tibiofibular syndesmosis under direct vision does effectively restore the length and rotation of the fibula, and get satisfactory clinical outcomes for Maisonneuve fractures.

Abstract:[Objective] To evaluate the clinical outcomes of anterior surgical procedures, involving reduction, decompression and in- strumented fusion under flexion traction for cervical fracture and dislocation accompanied with locked facets. [Methods] From January 2015 to January 2019, 45 patients, including 33 males and 12 females aged from 29 to 64 years with a mean of (48.6±7.2) years, underwent anterior surgical procedures, involving reduction, decompression and instrumented fusion under flexion traction for cervical fracture and dislocation accompanied with locked facets. Clinical outcomes were assessed by using NDI and JOA scores, ASIA scale, as well as radio- graphs. [Results] All the 45 patients had the operations completed successfully, with facet reduction rate of 100.0% , operation time of (65.4±22.8) min, incision length of (6.1±0.9) cm, intraoperative blood loss of (290.9±90.0) ml. As time went during the follow-up period lasted for (2.7±1.1) years, the NDI and JOA scores, as well as ASIA grades improved significantly (P＜0.05) . No patients showed any wors- ening of spinal cord injury during the follow-up period. Radiographically, the intervertebral height of the affected disc and the Cobb angle of cervical lordosis significantly improved postoperatively compared with those preoperatively (P＜0.05) . No loosening, displacement or frac- ture of the internal implant was found in anyone of them until the latest follow up. [Conclusion] The anterior surgical procedures, involving reduction, decompression and instrumented fusion, under flexion traction do effectively treat the lower cervical fracture and dislocation ac- companied with locked facets.

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.