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

[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。

[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.