采用手术康复一体化模式治疗肱骨近端骨折的临床疗效观察

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Abstract Objective To compare the clinical efficacy of integrated surgical rehabilitation model and conventional rehabilitation model for postoperative treatment of proximal humerus fractures.Methods A total of 100 patients with proximal humerus fractures who received PHILOS plate internal fixation in the department of orthopaedics of Shanghai Seventh People’s Hospital from January 2017 to December 2018 were collected.Patients were divided into two groups according to the random number table：traditional rehabilitation group and graded rehabilitation group，with 50 cases in each group.Patients in the traditional rehabilitation group received shoulder joint function rehabilitation according to the rehabilitation guidelines.In the graded rehabilitation group，the corresponding rehabilitation program was adopted according to Safety assessment of early rehabilitation.Patients were followed up at 4 time points：1 day after surgery，2 weeks after surgery，1 month after surgery and 3 months after surgery，and the Neer scores of shoulder joints in the two groups were compared.The incidence of adverse reactions was recorded and compared between the two groups throughout the follow-up period.Results A total of 91 patients were followed up，including 45 patients in the traditional rehabilitation group and 46 patients in the graded rehabilitation group.Neer scores of shoulder joints in the two groups showed a gradually increasing trend at 4 time points of 1 day after surgery，2 weeks after surgery，1 month after surgery and 3 months after surgery (P＜0.05).Neer scores of the graded rehabilitation group were significantly better than those of the traditional rehabilitation group at 2 weeks and 1 month after surgery，but there was no significant difference in Neer scores between the two groups at 3 months after surgery(P＞0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion Guiding postoperative rehabilitation of proximal humerus fractures with the mode of integrated surgery and rehabilitation can significantly improve the efficiency of rehabilitation，while not increasing the incidence of complications.

Key words： proximal humerus fracture postoperative rehabilitation integration of surgery and rehabilitation

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	Yü Xiang 1
	Li Xu 1
	Wang Yongjun 2

Cite this article:

Yü Xiang 1,Li Xu 1,Wang Yongjun 2. Clinical Observation of the Treatment of Proximal Humerus Fracture with the Integrated Model of Operation and Rehabilitation[J]. sygkzz, 2019, 25(9): 776-780.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I9/776

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