Cartilage Repair by Joint Distraction and Motion Using an External Fixator for Massive Cartilage Defect

The objective of the present study was to investigate our novel methods for the repair of massive cartilage defects by joint distraction and motion using an external fixator. In this study, we used a rabbit model of massive articular cartilage defect in order to evaluate the effectiveness of using joint distraction and motion with a ring-type external fixator. This external fixator has a hinged joint with a center of rotation along the femoral transepicondylar axis, which allows the knee joint to freely flex and extend. Mesenchymal cells from bone marrow, induced by spongialization, were differentiated into mature chondrocytes and formed hyaline-like cartilage as a result of joint distraction and movement. The transplantation of autologous cells expanded from bone-marrow-derived mesenchymal cells, concentrated autologous bone marrow aspirate, and concentrated autologous peripheral blood cells were all effective in promoting cartilage repair. The quality of the cartilage after long-term joint distraction for 6 months was inferior to that after 12 weeks. In general, weight bearing on the regenerated cartilage promoted cartilage repair, although this effect differed based on when gradual weight bearing was begun. Specifically, gradual weight bearing beginning at 9 weeks produced superior results to that beginning at 6 weeks. Our methods provide an optimal environment for cartilage regeneration.

Surgical Repair of Dorsal Capsulo-Ligamentous Complex for Dislocation of the Thumb Carpometacarpal Joint

Background: Acute dislocation of the thumb carpometacarpal (CMC) joint is a rare and challenging injury, and its treatment remains controversial. The purpose of the study was to evaluate the clinical outcome after surgical repair of the dorsal capsulo-ligamentous complex. Materials and methods: Eight patients with a mean age of 39.8 years (range, 23 - 56 years) treated for the thumb CMC joint were treated in our hospital between 2008 and 2018. The ruptured dorsal capsulo-ligamentous complex was repaired using suture anchors in all patients, and the joint was immobilized with a Kirschner wire pinning and splint for 3 weeks. The clinical outcome was assessed by measuring the range of motion of the thumb CMC joint and the Japanese Society for Surgery of the Hand version of the Quick Disability of the Arm, Shoulder, and Hand (Q-DASH-JSSH) score. Results: The mean radial abduction of the thumb CMC joint was 66°, and the volar abduction was 63°. The mean Q-DASH-JSSH score was 4.8 (range, 0 - 15.6). There were no cases of infection, nerve disturbance, or osteoarthritis. Anatomical reduction was observed in seven patients at the final follow-up and in a rugby football player at 6 months of follow-up;however, subluxation of the thumb CMC joint at 12 months of follow-up due to reinjury was observed. Conclusion: Surgical repair of the dorsal capsulo-ligamentous complex with suture anchors is a reliable and simple treatment for acute unstable dislocation of the thumb CMC joint.

Rapid Repair of Earthquake Damaged RC Interior Beam-wide Column Joints and Beam-wall Joints Using FRP Composites

This paper studies the seismic performance of FRP-strengthened RC interior non-seismically detailed beam-wide columns and beam-wall joints after limited seismic damage.Four eccentric and concentric beam-wide column joints and two beam-wall joints,initially damaged in a previous study,were repaired and tested under constant axial loads(0.1fc′Ag and 0.35fc′Ag) and lateral cyclic loading.The rapid repair technique developed,aimed to restore the original strength and to provide minimum drift capacity.The repair schemes were characterized by the use of:(a) epoxy injections and polymer modified cementitious mortar to seal the cracks and replace spalled concrete;and(b) glass(GFRP) and carbon(CFRP) sheets to enhance the joint performance.The FRP sheets were effectively prevented against possible debonding through the use of fiber anchors.Comparison between responses of specimens before and after repair clearly indicated reasonable restoration in strength,drift capacity,stiffness and cumulative energy dissipation capacity.All specimens failed with delamination of FRP sheets at beam-column joint interfaces.The rapid repair technique developed in this study is recommended for mass upgrading or repair of earthquake damaged beam-column joints.

Numerical and Experimental Study on Stiffened Composite Panel Repaired by Bolted Joints under Compressive Load

Numerical and experimental study was conducted to investigate the failure mode and strength performance of stiffened composite panel repaired by bolted joints under compressive load, and the results were then compared with those from virgin stiffened composite panel without any damage. A finite element analysis model was established for repaired and virgin stiffened composite panels under compressive load, the 3D Hashin criteria was applied to identify the composite structure failure, and the secondary stress criteria was adopted to identify the adhesive failure between the base laminate and the stiffener. The failure modes of repaired stiffened composite panels were stiffened composite panels breaking off along the bolt joints. The experimental results were consistent with the finite element analysis results, indicating the reliability of the finite element analysis model.

Clinical study on treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair

Objective:To explore the treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair and its clinical effect.Methods:80 patients with TOSSY type III acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected.They were randomly divided into the control group(n=39,treated with clavicular hook plate)and the observation group(n=41,treated with clavicular hook plate combined with coracoclavicular ligament repair)by the random number table method.The clinical efficacy in 12 months after operation,related clinical indicators,12-month postoperative recovery and postoperative complications were compared between the two groups.Results:The excellent and good rate was 92.68%(38/41)in 12 months after operation in the observation group,which was higher than that(76.92%,30/39)in the control group(p<.05).There were no significant differences in the duration of surgery,intraoperative blood loss and HLOS between the observation group and the control group(p>.05).In 12 months after operation,abduction activity and forward flexion activity of the observation group were higher than those of the control group,and visual analogue score(VAS)was lower than that of the control group(p<.05).The incidence of complications in the observation group was slightly lower than that in the control group,but there was no statistically significant difference between the two groups(p>.05).Conclusions:For TOSSY type III acromioclavicular joint dislocation,clavicular hook plate combined with coracoclavicular ligament repair has a good clinical efficacy.It can improve shoulder joint function,alleviate shoulder pain and have fewer complications.It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.

带线锚钉修补踝关节骨折合并三角韧带损伤的疗效

目的探究带线锚钉(SA)修补联合切开复位内固定术(ORIF)对踝关节骨折(AF)合并三角韧带损伤(DLI)患者的疗效。方法选择2020年1月至2022年9月我院收治的138例AF合并DLI患者,按照随机数字表法分为对照组(69例)和观察组(69例)。对照组患者采用ORIF治疗,观察组患者在对照组的基础上进行SA修补治疗。比较2组患者的临床疗效,治疗前及治疗后3个月的美国矫形足踝外科协会(AOFAS)评分、视觉模拟量表(VAS)评分、距骨倾斜角、患侧内踝间隙、骨代谢指标[血清骨钙素(BGP)、β胶原降解产物(β-CTX)]水平及并发症的发生率。结果观察组患者的总有效率高于对照组,差异有统计学意义(P<0.05)。与治疗前比较,2组患者治疗后3个月的距骨倾斜角、患侧内踝间隙、VAS评分、β-CTX水平减小/降低,AOFAS评分、BGP水平升高,差异均有统计学意义(P<0.05);观察组患者治疗后AOFAS评分、BGP水平高于对照组,距骨倾斜角、患侧内踝间隙小于对照组,VAS评分、β-CTX水平低于对照组,差异均有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论SA修补对AF合并DLI患者的治疗效果确切,可改善患者症状,促进踝关节功能及骨代谢恢复。

关节囊修补联合囊肿切除术治疗踝源性趾腱鞘囊肿的临床疗效

目的观察关节囊修补联合囊肿切除术治疗踝源性趾腱鞘囊肿的临床疗效。方法2020年5月-2022年5月收治的7例趾腱鞘囊肿患者,经踝关节造影术,发现趾腱鞘囊肿为踝关节源性,行趾囊肿切除联合踝关节囊破损修补术。结果7例均获得随访,随访时间17~32个月,平均21.7个月,囊肿未复发。结论关节囊修补联合囊肿切除术治疗踝源性趾腱鞘囊肿临床疗效确切,复发率低,学习曲线短,适宜基层推广。

关节镜联合小切口修复术治疗肩袖全层损伤的效果

目的观察关节镜联合小切口修复术治疗肩袖全层损伤的近期效果,并探讨关节镜联合小切口修复术的临床意义。方法选取2020年1月至2022年4月接受关节镜联合小切口修复术治疗的22例肩袖全层损伤患者为研究对象。比较术前、术后6个月随访时的疼痛视觉模拟评分法(VAS)评分、肩关节主动前屈角度、外旋角度及Constant-Murley、美国加州大学肩关节评分(UCLA)评分。结果术后6个月随访时,肩袖全层损伤患者的VAS评分低于术前,肩关节主动前屈角度、外旋角度大于术前(P<0.05)。术后6个月随访时,肩袖全层损伤患者的Constant-Murley、UCLA评分高于术前(P<0.05)。结论关节镜联合小切口修复术治疗肩袖全层损伤的效果显著,可明显降低肩关节疼痛,提高肩关节功能,有助于术后康复。

人体骨组织修复器械虚拟仿真实验的设计与应用

在用于人体骨组织修复的植入无源医疗器械实践教学中,存在骨组织缺损修复模型少,器械耗材昂贵,人体实验条件苛刻等缺点。根据“人体解剖生理学”和“医疗器械及设计”等课程的教学和实验要求,基于人工髋关节生物力学科研成果,运用Solidworks软件三维建模和虚拟仿真技术,设计开发了“人体骨组织修复及人工全髋关节虚拟仿真实验”教学资源。该虚拟仿真实验能充分满足学生对以人工全髋关节为代表的多种骨修复器械从结构、位置匹配关系到植入人体后生物力学性能模拟的实验需求。有效提高了学生解决复杂工程问题的能力。

改良腓动脉穿支螺旋桨皮瓣在足踝部皮肤软组织缺损中的修复效果

目的:探讨足踝部皮肤软组织缺损患者采用改良腓动脉穿支螺旋桨皮瓣修复的效果。方法:选择2019年7月—2022年12月贵州省人民医院整形烧伤外科收治的100例足踝部皮肤软组织缺损行皮瓣修复的患者。按照随机数表法分为对照组和观察组,各50例,对照组予以腓动脉穿支皮瓣修复,观察组予以改良腓动脉穿支螺旋桨皮瓣修复。观察两组皮瓣情况(皮瓣一期成活率、增生性瘢痕、色素沉着发生率)、皮瓣感觉功能、踝关节活动度(踝关节跖屈、背伸角度)及踝关节功能[美国足踝外科协会(AOFAS)踝与后足评分系统评分]。结果:观察组皮瓣一期成活率为94.00%,高于对照组的80.00%,差异有统计学意义(P<0.05);两组术后增生性瘢痕、色素沉着发生率比较,差异无统计学意义(P>0.05)。观察组皮瓣感觉恢复优良率为88.00%,高于对照组的72.00%,差异有统计学意义(P<0.05)。术后6个月,两组踝关节跖屈、背伸角度高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。术后6个月,两组疼痛、力线及功能维度评分高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:改良腓动脉穿支螺旋桨皮瓣在足踝部皮肤软组织缺损修复中血运可靠,能改善踝关节功能,促进皮瓣感觉功能恢复,提高皮瓣一期成活率。

壮筋养血汤对距骨骨软骨损伤的疗效研究

目的探讨壮筋养血汤对Hepple分型Ⅰ、Ⅱ型距骨骨软骨损伤(osteochondral lesion of the talus,OLT)的临床疗效。方法选取2021年2月至2022年12月在杭州市萧山区中医院就诊的62例OLT患者为研究对象,根据随机数字表法将患者分为观察组和对照组,每组各31例。对照组采用常规西药治疗,观察组在对照组基础上联合壮筋养血汤治疗。比较两组患者治疗前后的血清基质金属蛋白酶13(matrix metalloproteinase 13,MMP-13)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、踝关节视觉模拟评分法(visual analogue scale,VAS)评分、美国足踝外科学会(American Orthopedic Foot and Ankle Society,AOFAS)踝-后足功能评分、中医证候积分及软骨修复组织磁共振观察(magnetic resonance observation of cartilage repair tissue,MOCART)评分。结果治疗后5周、3个月,两组患者的MMP-13、TNF-α、VAS评分、中医证候积分均显著低于本组治疗前,AOFAS踝-后足功能评分、MOCART评分均显著高于本组治疗前(P<0.05);观察组患者的MMP-13、TNF-α、中医证候积分均显著低于对照组,MOCART评分显著高于对照组(P<0.05)。治疗后5周,观察组患者的VAS评分显著低于对照组,AOFAS踝-后足功能评分显著高于对照组(P<0.05)。结论壮筋养血汤治疗Hepple分型Ⅰ、Ⅱ型OLT的近期疗效良好,其具有抗炎镇痛、改善关节功能和促进软骨修复的作用。

煤化工装置法兰接头密封泄漏评估管理系统研发

煤化工装置中螺栓法兰接头的泄漏问题一直是安全和环保管理的关键挑战。为解决此问题,文中设计并开发了涵盖了数据收集管理、密封泄露检测及修复、LEC泄漏风险评估及统计分析等功能的评估管理系统。通过该系统,可以实时监测密封泄漏、进行数据分析评估,并采用LEC评价法进行风险评估。系统业务模块面向不同管理层级的需求,有助于提高煤化工装置法兰接头密封泄漏评估管理的科学性和效率。系统致力于提高装置的密封性能、降低泄漏风险、合理配置检维修资源,从而实现装置的长周期运行。

环境中抗生素修复技术研究进展

抗生素在城市废水、畜禽养殖业和制药废水等来源中广泛存在,对环境产生严重污染。进入环境后,抗生素会影响微生物多样性、植物生长发育和人类健康,产生生态风险。主要综述了抗生素污染的来源、现状,生态风险,以及分别阐述水环境和土壤环境中抗生素处理的传统方法与新方法,并阐述其各类方法优势和劣势。

土壤熟化技术及其应用研究进展

随着工农业的发展,退化土壤日益增多,土壤质量形势严峻,土壤改良已然成为亟待解决的科学问题和研究热点。作为土壤改良的重要研究方向,土壤快速熟化技术通过快速提高土壤肥力提升了农作物的质量和产量。主要结合土壤退化的现状,梳理与阐述了基于物理修复、化学修复、生物修复的3种土壤熟化技术及相关联合修复技术的国内外研究现状、发展和应用,分析了土壤熟化技术存在问题并提出展望,为土壤熟化技术领域发展提供参考和帮助。

关节腔内注射脂肪干细胞对颞下颌关节骨关节炎模型兔关节软骨破坏的修复作用及其机制

目的:探讨关节腔内注射脂肪干细胞(ADSCs)对颞下颌关节骨关节炎(TMJOA)模型兔关节软骨破坏的修复作用,并阐明其可能的作用机制。方法:27只兔随机分为对照组、模型组和ADSCs组。提取兔ADSCs进行培养,采用碘乙酸钠(MIA)注射法制备兔TMJOA模型。ADSCs组TMJOA模型兔颞下颌关节腔内连续2次注射1.0×10^(6)mL^(-1)ADSCs,对照组和模型组兔颞下颌关节腔内注射等量生理盐水,8周后取各组兔颞下颌关节行显微CT(Micro-CT)扫描,分析各组兔髁突组织的骨体积分数(BV/TV)、骨表面积/骨体积比(BS/BV)、骨小梁厚度(Tb.Th)、骨小梁间距(Tb.Sp)和骨小梁数(Tb.N),HE染色观察各组兔髁突组织病理形态表现,免疫组织化学染色法检测各组兔髁突组织中SRY相关高迁移率族盒基因9(SOX9)、基质金属蛋白酶13(MMP-13)和血管内皮生长因子(VEGF)的定位情况和蛋白表达水平,Western blotting法检测各组兔髁突组织中SOX9、MMP-13和VEGF蛋白表达水平。结果:Micro-CT扫描,与对照组比较,模型组兔髁突组织的BV/TV、Tb.Th和Tb.N明显降低(P<0.05),BS/BV和Tb.Sp明显升高(P<0.05);与模型组比较,ADSCs组兔髁突组织的BV/TV、Tb.Th和Tb.N明显升高(P<0.05),BS/BV和Tb.Sp明显降低(P<0.05)。HE染色,对照组兔髁突软骨表面光滑,层次清晰,结构完整;与对照组比较,模型组兔髁突表面不规则,肥大层增厚,出现细胞缺失区和细胞簇状区;与模型组比较,ADSCs组兔髁突组织病理损伤明显减轻。免疫组织化学染色,与对照组和ADSCs组比较,模型组兔髁突组织中棕褐色颗粒增多,主要集中在肥大层,特别是骨软骨结合部位,髁突组织中SOX9、MMP-13和VEGF蛋白表达水平明显升高(P<0.05);与模型组比较,ADSCs组兔髁突组织肥大层和骨软骨结合部位棕褐色颗粒明显减少,髁突组织中SOX9、MMP-13和VEGF蛋白表达水平明显降低(P<0.05)。Western blotting法,与对照组比较,模型组兔髁突组织中SOX9、MMP-13和VEGF蛋白表达水平明显升高(P<0.05);与模型组比较,ADSCs组兔髁突组织中SOX9、MMP-13和VEGF蛋白表达水平明显降低(P<0.05)。结论:关节腔内注射ADSCs可有效修复TMJOA的软骨破坏,减轻软骨损伤,减缓骨关节炎进展。

木结构榫卯节点力学性能分析与加固方法综述

古木建筑中广泛采用的榫卯连接具有出色的耐久性和抗震性能。然而各种因素对榫卯造成的劣化和损伤会威胁到整体结构的安全。因此,探究榫卯的力学特性、损坏类型、修复方式对保护木结构建筑具有重要意义。首先,介绍了榫卯的历史渊源,根据朝代划分简要梳理了各类榫卯的发展历程,应用情况。其次,详细分析了榫卯节点的力学性能和耗能减震机理,概述了其破坏原因和形式。接着,根据榫卯的破坏形式,重点从传统材料、新型材料两个方面对加固方法进行归纳,从实用性及美观性等方面比较各种加固方法及其适用范围,并对近年来工程案例分类总结。最后,本文对未来榫卯节点破坏的预防,修复和监测提出了相关展望,以期为未来研究和实践提供有益的参考。

水下修复材料的黏结强度与变形性能研究进展

介绍了常用的几种水下修复材料的性能,分析了其作用机理,强调了黏结强度和变形性能的重要性,指出了各水下修复材料在接缝修复中存在的问题及优缺点,并提出了未来重点研究方向。

定量CT测定锁骨远端骨密度分区指导肩锁关节脱位重建的价值

背景:肩锁关节脱位喙锁韧带重建在锁骨侧骨隧道的最佳位置尚未达成共识,且术后会发生锁骨侧骨隧道扩大、骨溶解、锁骨骨折、内固定失效等并发症。骨密度在内植物固定强度及稳定性上起重要作用,锁骨远端骨密度的区域差异在肩锁关节脱位修复重建中不应被忽视,目前临床上尚无人体有关锁骨远端骨密度的定量研究。目的:通过定量CT测量锁骨远端不同区域骨密度的大小,为外科医生修复重建喙锁韧带提供参考。方法:对2022年10-12月在安徽医科大学附属阜阳人民医院(阜阳市人民医院)行定量CT检查的101例患者1616份亚分区进行锁骨远端骨密度测量。对于每个定量CT样本,首先由内侧向外侧划分锁骨远端为以下4个区域,即锥状结节区(A区)、结节间区(B区)、斜方嵴区(C区)以及锁骨远端区(D区),再将每个区域分为前半部分和后半部分确定8个亚分区,在亚分区中设置半自动感兴趣区(ROIA1、A2、B1、B2、C1、C2、D1、D2),将每个定量CT扫描图像传输至QCTpro分析工作站,对锁骨远端感兴趣区松质骨骨密度进行测量,测量时注意避开锁骨骨皮质。结果与结论:①不同侧肩部骨密度比较,差异无显著性意义(P>0.05);②锁骨远端A1、A2、B1、B2、C1、C2、D1、D2亚分区骨密度分析,差异有显著性意义(P<0.05),可以认为锁骨远端不同区域骨密度有差别,经过两两比较,除A1与A2,D1与D2,A2与B1之间的骨密度差异无显著性意义(P>0.05),其余亚分区骨密度两两比较差异均有显著性意义(P<0.05);③锥状韧带解剖止点A2区骨密度高于B区,差异有显著性意义(P<0.05);A1区骨密度高于A2区,但差异无显著性意义(P>0.05);斜方韧带解剖止点C1区骨密度高于C2区、D1区及D2区,B区骨密度高于C区及D区,差异有显著性意义(P<0.05);④结果表明,锁骨远端不同区域骨密度存在差异,肩锁关节脱位修复重建时锁骨远端骨密度的区域差异不容忽视,除考虑生物力学因素外,还应考虑将内植物或骨隧道置于骨密度较高的区域,以提高内植物固定强度及稳定性,减少骨隧道扩大、骨溶解、骨折及内植物失效等并发症发生的风险。

关节镜下全缝线锚钉治疗肩袖损伤的短期临床疗效

目的:采用前瞻性、单队列临床试验评估关节镜下应用全缝线锚钉修复肩袖损伤的短期临床疗效。方法:以江苏省苏北人民医院运动医学科、日间手术中心自2022年7月至2022年9月收治的25例肩袖损伤(1.5 cm<撕裂大小<6 cm)患者作为研究对象,其中2例不符合入选标准被排除、1例因随访不便中途退出。共22例患者纳入研究,男8例、女14例;年龄59.1±10.9岁;左肩10例、右肩12例;肩袖撕裂大小为3.2±1.2 cm。记录患者术前、术后3个月、术后6个月随访时疼痛视觉模拟评分(VAS)、美国肩肘外科医师协会评分(ASES评分)、Constant-Murley肩关节功能评分(Constant评分)、简明肩关节评分(SST评分)、双肩外展肌力比值(患侧/健侧)及患肩关节活动度。通过术后6个月的磁共振成像(MRI)评估术后肩袖的愈合情况及全缝线锚钉周围囊肿形成情况,根据全缝线锚钉周围是否形成囊肿,将患者分为锚周囊肿组和锚周无囊肿组,比较分析两组患者的年龄、性别、左右侧、外伤史、病程时间、撕裂大小、手术时间,了解是否具有相关性;比较两组术后6个月的VAS评分、ASES评分、Constant评分、患肩关节活动范围和肩袖的愈合等级。结果:22例患者术后获6.2±0.3个月随访。术前、术后3月、术后6月,VAS评分分别为4.2±1.1、1.3±1.2、0.7±0.4分,ASES评分分别为51.5±11.2、79.7±12.3、88.9±6.5分,Constant评分分别为46.2±12.8、65.4±12.4、73.7±9.6分,双肩外展肌力比值(患侧/健侧)分别为21.9±15.8、71.3±9.6、90.3±5.9,SST评分分别为3.5±0.3、7.6±0.2、10.5±0.2分,与术前比较,术后3月、术后6月差异均有统计学意义(P<0.05)。术后3月、术后6月的肩关节活动范围与术前比较差异也均有统计学意义(P<0.05)。术后MRI提示肩袖再撕裂的患者1例。锚周围囊肿组和锚周无囊肿组两组患者年龄比较差异有统计学意义(P<0.05)。两组术后6月的VAS评分、ASES评分、Constant评分、患肩关节活动范围和肩袖的愈合等级比较差异均无统计学意义(P>0.05)。结论:关节镜下应用全缝线锚钉进行肩袖修补术具有可行性和安全性,短期临床疗效较好。

术后早期被动运动结合个性化延伸护理在行关节镜下肩袖修复术患者中的应用

目的探析术后早期被动运动结合个性化延伸护理在行关节镜下肩袖修复术患者中的应用价值。方法抽取2021年9~12月在滨州医学院附属医院行关节镜下肩袖修复术的100例患者为观察对象,采取随机数字表法将符合标准的患者分为对照组和观察组,均为50例。对照组实施常规护理,观察组实施术后早期被动运动结合个性化延伸护理。比较2组的肩关节活动度、肩关节功能以及并发症发生率。结果术后3个月及术后6个月,2组的体侧外旋角度和主动前屈角度均较术后当日增大,肩关节功能评价量表中的5个项目评分均较术后当日升高(P均<0.05),且观察组均较同一时期的对照组更优(P均<0.05)。2组间感染、关节肿胀等并发症的总发生率相比,观察组较对照组更低(P<0.05)。结论术后早期被动运动结合个性化延伸护理对行关节镜下肩袖修复术患者术后并发症的减少、肩关节活动度的改善以及肩关节功能的提升均可产生积极影响。