带线锚钉治疗肩锁关节重度脱位的围手术期护理

Nursing management of severe acromioclavicular dislocation patients undergoing coracoclavicular ligament reconstruction with suture anchor fixation

目的总结使用双带线锚钉重建喙锁韧带治疗TossyⅢ型肩锁关节脱位的军人患者的围手术期护理方法。方法收集并分析2014年5月—2015年7月收治的13例严重肩锁关节脱位患者的临床资料,患者匀采用双枚带线锚钉重建喙锁韧带方法治疗。结果 13例患者经过手术治疗及围手术期间的针对性综合护理和专门的功能锻炼指导,术后肩锁关节稳定性较术前明显改善,4周后关节活动度接近正常。结论 TossyⅢ型肩锁关节脱位患者,在进行双带线锚钉重建喙锁韧带术后,有针对性地给予综合护理干预,能够促进关节功能恢复,提高治疗效果。

Objective To summarize the nursing management of solider patients undergoing coracoclavicular ligament reconstruction with suture anchor fixation for Tossy type Ⅲ acromioclavicular dislocation. Methods To retrospectively collect the clinical data of 13 solider patients with severe acromioclavicular dislocation,and to summarize the nursing management during coracoclavicular ligament reconstruction with suture anchor fixation. Results ALL patients received comprehensive nursing care and targeted functional training,All patients achieved a better acromioclavicular joints stability after surgical treatment and range of motion of the shoulder joint was almost recovered four weeks after surgery. Conclusion For patients with Tossy type Ⅲ acromioclavicular dislocation,it is required to carry out comprehensive nursing intervention during coracoclavicular ligament reconstruction with suture anchor fixation,so as to improve the rehabilitation of joint function and ensure the treatment effect.