Ilizarov外固定架治疗踝关节僵直的护理干预

Nursing intervention on the patients with ankle joint stiffness treated with ilizarov external fixation

目的探讨应用Ilizarov踝关节牵伸器微创治疗踝关节僵直的手术后的护理疗效。方法总结2002年8月-2007年10月我科使用改良Ilizarov踝关节牵伸器治疗踝关节僵直的术后护理，找出护理问题，并制定护理措施。结果所有病例平均随访时间12个月，踝关节平均保持在跖屈3°位置，较术前平均改善39°，踝关节活动范围平均为26°，比术前平均进步11°。无严重并发症，行走功能明显改善。结论随着Ilizarov踝关节牵伸器微创治疗踝关节僵直的不断进展，有针对性的专科护理水平的不断提高，使Ilizarov踝关节牵伸器微创治疗踝关节僵直获得良好的临床疗效，提高患者生活质量。

Objective To study the nursing intervention on the patients with ankle joint stiffness treated with ilizarov external fixation. Methods The nursing interventions on the patients with ankle joint stiffness treated with ilizarov external fixation were summaried from 2002 to 2007, the nursing questions were acquired, and the nursing intervention were formulated. Results All cases were followed up by a period of 12 months averagely. The results showed that the ankle joint has 3 degree in plantar flexion status and a mean motion range of 26 degree, improving 39 degree and 11 degree than preoperative condition respectively, and no serious complications. The walking function had been improved obviously. Conclusions The improvement of the nursing intervention can promote the therapy effects of stiffed ankle joint cured by ilizarov external fixation, and can help patients raise quality of life.