Changes of shoulder joint function in patients with clavicle fractures after open reduction and internal fixation and its influencing factors
10.3760/cma.j.cn115682-20201202-06485
- VernacularTitle:锁骨骨折切开复位内固定术后患者肩关节功能变化及影响因素研究
- Author:
Fang LIU
1
;
Huiren ZHUANG
;
Jinglei ZHAO
;
Ju ZHOU
;
Ying XIA
Author Information
1. 同济大学附属东方医院急诊外科，上海 200120
- Keywords:
Rehabilitation;
Clavicle fractures;
Open reduction and internal fixation;
Shoulder joint function;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2021;27(25):3427-3431
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the changes of shoulder joint function in patients with clavicle fractures after open reduction and internal fixation at different periods, and analyze its influencing factors.Methods:From January 2019 to June 2020, convenience sampling was used to select 120 clavicle fracture patients with open reduction and internal fixation in Shanghai East Hospital. Patients were investigated using the General Information Questionnaire and the Constant-Murley Score for shoulder joint function at one week, one month, and three months after the operation.Results:The total scores of shoulder joint function of patients at one week, one month and three months after open reduction and internal fixation of clavicle fractures were (42.91±7.38) , (73.13±3.96) and (98.04±3.89) , respectively. Repeated analysis of variance showed that patients with clavicle fractures after open reduction and internal fixation had statistically significant differences in pain, activities of daily living, joint range of motion, muscle strength, and total score of shoulder joint function in different periods ( P<0.01) . One week after the operation, there were statistically significant differences in shoulder joint function of patients with clavicle fractures after open reduction and internal fixation at different ages, with or without caregivers, and functional exercise ( P<0.05) . One month after the operation, there was a statistically significant difference in shoulder joint function in functional exercise ( P<0.05) . Three months after the operation, there was no significant difference in the scores of shoulder joint function among patients with different characteristics ( P>0.05) . The results of multivariate analysis showed, age, caregivers and functional exercise were the influencing factors of shoulder joint function one week after open reduction and internal fixation ( P<0.05) . Conclusions:There are different characteristics of shoulder joint function in different periods after open reduction and internal fixation of clavicle fractures. In the acute phase, attention should be paid to the wound pain at the surgical site, and medical and nursing staff and caregivers should provide daily care and psychological counseling to the patient. In the subacute phase, joint exercises should be strengthened and continuous nursing should be carried out to ensure the continuing effectiveness of rehabilitation exercises.
