关节镜下治疗胫骨髁间嵴撕脱性骨折的围手术期护理  

Preoperative nursing care for patients undergoing avulsion fracture of tibial intercondylar eminence by arthroscopy

作　　者：郑璐[1] 邓姝[1] 

机构地区：[1]第三军医大学西南医院关节外科中心,重庆400038

出　　处：《重庆医学》2011年第10期978-979,共2页Chongqing medicine

摘　　要：目的探讨关节镜下空心螺钉治疗胫骨髁间嵴撕脱性骨折患者的围手术期护理和康复要点。方法对2005年1月至2009年12月本科收治的52例胫骨髁间嵴撕脱性骨折患者，针对关节镜下胫骨髁间嵴撕脱性骨折的治疗特点和要求，制订并实施针对性的护理和康复锻炼，以预防术后并发症、提高手术疗效。结果52例患者均获随访，时间6～60个月，平均32．5个月。所有患者无主观膝关节不稳感，屈伸活动正常，Lysholm评分由术前的（68．4±1．5）分增至（92．5士2．5）分，所有患者术后的康复护理问题得到了解决。结论关节镜下空心螺钉治疗胫骨髁间嵴撕脱性骨折创伤小、出血少、疗效好。正确的围手术期护理对于提高手术效果及减少术后并发症至关重要。Objective To investigate perioperatlve nursing care and rehabilitation points for patients undergoing avulsion frac- ture of tibial intercondylar eminence by arthroscopy. Methods From Jan. 2005 to Dec. 2009,52 cases of avulsion fracture of tibial intercondylar eminence were conducted the operation by arthroscopy. According to the character and requirement of the surgery,we constitute and implement the rehabilitation nursing points to prevent the complication. Results All patients were followed up for 6 to 60 months averaging 32.5 months. The joints were stable in all cases. Lysholm scores increased from 68.4±1.5 to 92.5±2. 5. The problem of postoperation rehabilitation nursing were solved. Conclusion Arthroscopic treatment of avulsion fracture of tibial intercondylar eminence is minimally invasive,less bleeding,and quick recovery. The correctly preoperative nursing care is important to the outcomes of operation.

关 键 词：关节镜 胫骨髁间嵴 撕脱性骨折 围手术期 

分 类 号：R473.6[医药卫生—护理学]