RUAN Xiaoyan, ZHENG Jun, LU Yaojia, FEI Wenyong, ZHANG Wenjun. Rehabilitation nursing in patients undergoing elbow arthroscopic arthrolysis[J]. Journal of Clinical Medicine in Practice, 2022, 26(11): 107-110, 113. DOI: 10.7619/jcmp.20214872
Citation: RUAN Xiaoyan, ZHENG Jun, LU Yaojia, FEI Wenyong, ZHANG Wenjun. Rehabilitation nursing in patients undergoing elbow arthroscopic arthrolysis[J]. Journal of Clinical Medicine in Practice, 2022, 26(11): 107-110, 113. DOI: 10.7619/jcmp.20214872

Rehabilitation nursing in patients undergoing elbow arthroscopic arthrolysis

More Information
  • Received Date: December 08, 2021
  • Available Online: June 01, 2022
  • Objective 

    To explore the effect of rehabilitation nursing mode in patients undergoing elbow arthroscopic arthrolysis.

    Methods 

    A total of 86 patients with elbow arthroscopic arthrolysis were selected for rehabilitation nursing. The degree of swelling and pain were evaluated at 24, 48, 72 hours and 4, 7 days postoperatively and elbow function and range of motion were recorded 1 day before surgery and 2 months after surgery. The correlation between elbow range of motion and clinical data was analyzed.

    Results 

    Postoperative cubital crease circumference, 5 cm above as well as 5 cm below the cubital crease and Visual Analogue Scale (VAS) score decreased in a time-dependent manner (P < 0.01). Two months after surgery, the range of flexion activity was significantly higher than that before surgery, and the range of extension activity was significantly lower than that before surgery (P < 0.01). The range of flexion activity two months after surgery was negatively correlated with the preoperative range of extension activity (P < 0.01), and was positively correlated with the preoperative range of flexion activity (P < 0.01). Postoperative elbow range of motion in patients with no history of trauma, with hypertension and diabetes was significantly worse than that in patients with history of trauma and those without hypertension and diabetes (P < 0.05).

    Conclusion 

    Rehabilitation nursing mode can relieve the pain and swelling degree of patients undergoing elbow arthroscopic arthrolysis. Poor preoperative range of motion, no history of trauma, hypertension and diabetes patients have poor postoperative elbow range of motion recovery, thus rehabilitation nursing should be paid attention to them.

  • [1]
    ZHANG D F, NAZARIAN A, RODRIGUEZ E K. Post-traumatic elbow stiffness: Pathogenesis and current treatments[J]. Shoulder Elbow, 2020, 12(1): 38-45. doi: 10.1177/1758573218793903
    [2]
    DAI J X, ZHANG G F, LI S L, et al. Arthroscopic treatment of posttraumatic elbow stiffness due to soft tissue problems[J]. Orthop Surg, 2020, 12(5): 1464-1470. doi: 10.1111/os.12787
    [3]
    XIONG H, SUN Z Y, CHEN S, et al. Effect of hyperuricemia on functional outcomes and complications in patients with elbow stiffness after open arthrolysis combined with hinged external fixation: a retrospective study[J]. J Shoulder Elbow Surg, 2020, 29(7): 1387-1393. doi: 10.1016/j.jse.2020.02.021
    [4]
    张素萍. 肘关节镜下治疗骨关节炎患者的康复护理[J]. 中国医药指南, 2014, 12(16): 353-354. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201416267.htm
    [5]
    王怡, 关文也, 周正宏. 肘关节镜下松解治疗创伤后肘关节僵硬的康复与护理[J]. 护理研究, 2013, 27(35): 4045-4046. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201335042.htm
    [6]
    朱琳怡, 毛雷音, 徐颢庭, 等. 关节镜下肘关节松解术后行CPM同步局部冰敷效果分析[J]. 中国医药科学, 2020, 10(15): 226-229, 243. doi: 10.3969/j.issn.2095-0616.2020.15.062
    [7]
    SUN Z Y, LI J H, LUO G, et al. What constitutes a clinically important change in Mayo Elbow Performance Index and range of movement after open elbow arthrolysis[J]. Bone Joint J, 2021, 103-B(2): 366-372. doi: 10.1302/0301-620X.103B2.BJJ-2020-0259.R3
    [8]
    DE KLERK H H, WELSINK C L, SPAANS A J, et al. Arthroscopic and open debridement in primary elbow osteoarthritis: a systematic review and meta-analysis[J]. EFORT Open Rev, 2020, 5(12): 874-882. doi: 10.1302/2058-5241.5.190095
    [9]
    ENG H C, RIAZI S, VEILLETTE C, et al. An expedited care pathway with ambulatory brachial plexus analgesia is a cost-effective alternative to standard inpatient care after complex arthroscopic elbow surgery: a randomized, single-blinded study[J]. Anesthesiology, 2015, 123(6): 1256-1266. doi: 10.1097/ALN.0000000000000852
    [10]
    HE X, FEN Q, YANG J R, et al. Risk factors of elbow stiffness after open reduction and internal fixation of the terrible triad of the elbow joint[J]. Orthop Surg, 2021, 13(2): 530-536. doi: 10.1111/os.12879
    [11]
    QIAN Y, YU S Y, SHI Y, et al. Risk factors for the occurrence and progression of posttraumatic elbow stiffness: a case-control study of 688 cases[J]. Front Med (Lausanne), 2020, 7: 604056.
    [12]
    ZHENG W, LIU J Z, SONG J L, et al. Risk factors for development of severe post-traumatic elbow stiffness[J]. Int Orthop, 2018, 42(3): 595-600. doi: 10.1007/s00264-017-3657-1
    [13]
    GIANNICOLA G, BULLITTA G, POLIMANTI D, et al. Factors affecting choice of open surgical techniques in elbow stiffness[J]. Musculoskelet Surg, 2014, 98(Suppl 1): 77-85.
    [14]
    YANG Y P, YUAN S, LI N, et al. Analysis of factors influencing the efficacy of extracapsular arthroscopic surgery for refractory tennis elbow[J]. Zhonghua Wai Ke Za Zhi, 2019, 57(11): 818-823.
    [15]
    CARLIER Y, LENOIR H, ROULEAU D M, et al. Arthroscopic debridement for osteoarthritis of the elbow: results and analysis of predictive factors[J]. OrthopTraumatol Surg Res, 2019, 105(8S): S221-S227. http://www.sciencedirect.com/science/article/pii/S1877056819302580
    [16]
    PARK I, OH M J, SHIN S J. Minimal clinically important differences and correlating factors for the Rowe score and the American shoulder and elbow surgeons score after arthroscopic stabilization surgery for anterior shoulder instability[J]. Arthroscopy, 2019, 35(1): 54-59. doi: 10.1016/j.arthro.2018.08.005
    [17]
    JHAN S W, CHOU W Y, WU K T, et al. Outcomes and factors of elbow arthroscopy upon returning to sports for throwing Athletes with osteoarthritis[J]. J Orthop Surg Res, 2018, 13(1): 280. doi: 10.1186/s13018-018-0992-x
    [18]
    NOTICEWALA M S, TROFA D P, VANCE D D, et al. Elbow arthroscopy: 30-day postoperative complication profile and associated risk factors[J]. Arthroscopy, 2018, 34(2): 414-420. doi: 10.1016/j.arthro.2017.08.286
  • Related Articles

    [1]WANG Guoli, YU Xuemei, ZHANG Ying. Application of non-cervical dilation hysteroscopic technique versus HEOS hysteroscopic technique in intrauterine adhesion separation[J]. Journal of Clinical Medicine in Practice, 2024, 28(20): 98-102. DOI: 10.7619/jcmp.20242177
    [2]TAO Jinyan, LI Changzheng, YANG Hongyan, LI Liya, ZHANG Dan. Correlation of disinfection quality of digestive endoscopes with residual tissue glue in forceps channels[J]. Journal of Clinical Medicine in Practice, 2024, 28(12): 18-20, 25. DOI: 10.7619/jcmp.20233673
    [3]ZHANG Jiali, YI Hongying, HAO Ling, LI Shangwen, CHEN Changxu. Effect of self-prescribed Paizhuo Qinggong Herbal Formula Granule combined with Misoprostol Tablets on uterine recovery in patients with residual intrauterine tissue after childbirth[J]. Journal of Clinical Medicine in Practice, 2024, 28(4): 55-60. DOI: 10.7619/jcmp.20233376
    [4]GU Zhuanrong. Effect of Xinshenghua Granule and Fresh Yimucao Capsule on improvement of acute hemorrhage after medical abortion[J]. Journal of Clinical Medicine in Practice, 2018, (7): 114-116. DOI: 10.7619/jcmp.201807032
    [5]YAO Fei, ZHANG Wenjing, XU Shaojun, ZHU Aibing, SHEN Mingkun. Effectiveness and safety of three different doses of oxycodone hydrochloride injection in treatment of postoperative uterus contraction pain after painless artificial abortion surgery[J]. Journal of Clinical Medicine in Practice, 2017, (21): 55-58. DOI: 10.7619/jcmp.201721016
    [6]QIN Wei, LIU Hong, XING Chunzi. Effect of iodophor uterine cavity wipe in prevention of postoperative incision infection in nursing intervention of cesarean section in high risk pregnant women[J]. Journal of Clinical Medicine in Practice, 2017, (20): 103-105. DOI: 10.7619/jcmp.201720033
    [8]MA Chun, TIAN Li. Influence of uterine perfusion with hCG in ovulatory period on endometrial pinopodes and clinical pregnancy rate in patients with RSA[J]. Journal of Clinical Medicine in Practice, 2016, (21): 69-71,75. DOI: 10.7619/jcmp.201621021
    [9]CHEN Jing, LI Mujun, HUANG Qianyi, CAI Junying, WAN Jiangfan. Expression of certain cytokines by Th17 cells in peripheral blood and decidual tissues of patients with unexplained recurrent spontaneous abortion[J]. Journal of Clinical Medicine in Practice, 2015, (9): 91-93. DOI: 10.7619/jcmp.201509026
    [10]LU Jian, ZHANG Enhu, WU Lin, YUE Ming, YAN Jianhua, ZHAI Xiaoyi. Study on the effects of Huaxiangongxue capsules on the uterine bleeding volume of rats with drugs-elicited incomplete abortion[J]. Journal of Clinical Medicine in Practice, 2013, (5): 21-23. DOI: 10.7619/jcmp.201305005
  • Cited by

    Periodical cited type(1)

    1. 孙佩佩,马丽丽,丁露碟,张浙恩. 应激性高血糖比值与伴2型糖尿病的急性心肌梗死患者急诊PCI术后预后的关系. 心电与循环. 2024(06): 594-597 .

    Other cited types(0)

Catalog

    Article views (206) PDF downloads (17) Cited by(1)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return