Rehabilitation nursing care of double endo-button technique under total arthroscope for acute acromioclavicular joint dislocation
10.3760/cma.j.issn.1674-2907.2012.04.015
- VernacularTitle:全关节镜下双纽扣钢板固定技术治疗急性肩锁关节脱位的康复护理
- Author:
Run-Xi TIAN
1
;
Fan GAO
;
Hui ZHAO
;
Qian HAN
Author Information
1. 卫生部北京医院
- Keywords:
Arthroscope;
Acromioclavicular joint;
Dislocations;
Ligaments;
Rehabilitation nursing
- From:
Chinese Journal of Modern Nursing
2012;18(4):415-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the rehabilitation nursing care of double endo-button technique under total arthroscope for acute acromioclavicular joint dislocation.Methods From August 2007 to March 2009,8 cases (8 shoulders,6 males and 2 females,22 - 53 years old,mean age 34.4 ) with acute acromioclavicular joint dislocation ( Rockwood type Ⅲ) were treated in author' s hospital.After surgery we made systemic rehabilitation care plan,phased into the body functional rehabilitation exercises,under the premise of ensuring safety of patients as soon as possible to urge the active and passive functional exercise,regular follow-up.Radiographic analysis and the Constant scores and VAS ( Visual Analogue Scale) were used to provide a final evaluation of shoulder function for 3 months,6 months and 12 months after operation.Results All of 8 patients were followed up for more than 3 months( average 7.2 months).The Constant score averaged 93.9,with a mean VAS score of 1.75.There were no patients with A-C joint re-dislocation during this period after analyzing X-ray,but VAS score of 1 patient was 4 by 3 months.The operation for 8 cases was satisfactory.Most patients returned to their pre-injury activity level.Conclusions Total sxthrosocopic double endo-button technique for reconstruction of coracoclavicular ligament is an effective approach to treatment of fresh Rockwood Ⅲ acromioclavicular dislocation. This approach enjoys earlier recovery and less complication. Postoperative rehabilitation nursing is as important as surgery,not only for good functional recovery,but also for patient satisfaction.
