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探索康复对肘部骨折患者术后恢复的影响:一项队列研究。

Exploring the impact of rehabilitation on post-surgical recovery in elbow fracture patients: a cohort study.

作者信息

Donati D, Aroni S, Tedeschi R, Sartini S, Farì G, Ricci V, Vita F, Tarallo L

机构信息

Physical Therapy and Rehabilitation Unit, Policlinico di Modena, Modena, Italy.

Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy.

出版信息

Musculoskelet Surg. 2025 Mar;109(1):33-39. doi: 10.1007/s12306-024-00848-8. Epub 2024 Jul 18.

Abstract

INTRODUCTION

Elbow fractures, characterized by their complexity, present significant challenges in post-surgical recovery, with rehabilitation playing a critical role in functional outcomes. This study explores the efficacy of rehabilitative interventions in enhancing joint range of motion (ROM) and reducing complications following surgery for both stable and unstable elbow fractures.

METHODS

A cohort of 15 patients, divided based on the stability of their elbow fractures and whether they received post-operative rehabilitation, was analyzed retrospectively. Measurements of ROM-including flexion, extension, pronation, and supination-were taken at three follow-ups: 15-, 30-, and 45-day post surgery. The study assessed the impact of rehabilitation on ROM recovery and the resolution of post-surgical complications.

RESULTS

The findings indicated no statistically significant differences in ROM improvements between patients who underwent rehabilitation and those who did not, across all types of movements measured. However, early rehabilitative care was observed to potentially aid in the mitigation of complications such as joint stiffness, especially in patients with stable fractures.

CONCLUSION

While rehabilitation did not universally improve ROM recovery in elbow fracture patients, it showed potential in addressing post-operative complications. The study underscores the importance of individualized rehabilitation plans and highlights the need for further research to establish evidence-based guidelines for post-surgical care in elbow fractures.

摘要

引言

肘部骨折具有复杂性,给术后恢复带来重大挑战,康复治疗对功能恢复起着关键作用。本研究探讨康复干预对稳定型和不稳定型肘部骨折术后增强关节活动范围(ROM)及减少并发症的疗效。

方法

回顾性分析15例患者,根据肘部骨折的稳定性及是否接受术后康复治疗进行分组。在术后15天、30天和45天的三次随访中测量ROM,包括屈曲、伸展、旋前和旋后。该研究评估了康复治疗对ROM恢复及术后并发症解决情况的影响。

结果

研究结果表明,在所有测量的运动类型中,接受康复治疗的患者与未接受康复治疗的患者在ROM改善方面无统计学显著差异。然而,观察到早期康复护理可能有助于减轻诸如关节僵硬等并发症,尤其是在稳定型骨折患者中。

结论

虽然康复治疗并非普遍改善肘部骨折患者的ROM恢复,但它在解决术后并发症方面显示出潜力。该研究强调了个性化康复计划的重要性,并突出了进一步研究以建立肘部骨折术后护理循证指南的必要性。

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