1例高龄糖尿病病人全膝关节置换术后髌腱断裂的护理

全膝关节置换术后发生伸膝装置结构断裂是一种严秀并发症，通常发生在胫骨结节髌腱止点远端撕脱和断裂，临床少见，我科行全膝关节置换术72例，发生1例髌腱断裂，现将护理体会报告如下。     

全膝关节置换术后持续被动运动致髌腱断裂1例报告

髌腱断裂是全膝关节置换术后的并发症，发生率比较低，应用持续被动运动机（CPM）功能锻炼致髌腱断裂比较少见。1例髌腱断裂患者使用自体股四头肌腱腱膜修复挛缩的下止点，术后予膝关节活动支具伸直位固定6周，结合功能锻炼，取得满意的膝关节活动范围。     

泪小管断裂病人围术期护理

对37例因外伤所致的泪小管断裂行泪小管断裂吻合术并插入义管病人进行观察和精心护理，术后效果满意。现将护理介绍如下。     

泪小管断裂病人围术期护理

对37例因外伤所致的泪小管断裂行泪小管断裂吻合术并插入义管病人进行观察和精心护理,术后效果满意.现将护理介绍如下. 1 临床资料 我院从2003年1月-2007年8月共收治37例泪小管断裂病人,均为单眼,其中男29例,女8例,年龄最小1岁,最大66岁,均为外伤所致,包括钝器击伤、锐器割伤、手指戳伤、车祸等.     

尿毒症患者伸膝装置断裂锚钉固定术的围手术期护理

目的:总结尿毒症患者伸膝装置断裂锚钉固定术的围手术期护理方法。方法:随访我院2012年1月~2015年12月20例尿毒症并发髌韧带断裂、髌骨下极骨折、股四头肌髌骨附着部断裂等伸膝装置破坏的患者,均行伸膝装置修复术,结合术前术后的护理以及康复锻炼,临床随访。所有患者术后24,48,72 h均给予视觉模拟疼痛评分,完成评分后,如果患者疼痛明显,予以口服镇痛药物、肌内注射镇痛剂等对症治疗。术后2,12周复查X线片,并在2,4,8,12周采用美国纽约特种外科医院(HSS)的Insall等于1976年提出的评分系统对患者膝关节功能恢复情况进行调查。结果:本组患者术后均未见明显手术相关并发症,无感染、出血以及血栓形成等表现。复查X线片提示锚钉位置良好,无锚钉松动、移位。术后24 h疼痛评分(7.25±0.62)分,48 h疼痛评分(5.83±0.72)分,72 h疼痛评分(3.58±0.67)分,提示随着术后时间延长疼痛程度逐渐减轻。术后12周随访患者均表示膝关节无疼痛,可恢复下地行走。2周时膝关节功能评分(44.92±4.64)分,4周时膝关节功能评分(51.08±7.04)分,8周时膝关节功能评分(65.17±5.44)分,12周膝关节功能评分(88.75±2.70)分,8周前患侧与对侧相比,有疼痛不适感觉,但12周后双膝关节无明显差异。结论:尿毒症患者伸膝装置断裂锚钉固定术后配合护理,加强功能锻炼,可取得良好的临床疗效。     

关节镜下同种异体髌腱组织重建膝前交叉韧带的术后康复护理

南京大学医学院附属鼓楼医院骨科2003年9月~2005年12月,采用深低温冰冻保存异体髌腱组织(骨—腱—骨组织,BPTB)移植重建膝关节前交叉韧带(ACL)18例,配合术后康复训练,取得良好效果。1临床资料本组ACL损伤共18例,男11例,女7例,年龄20~56岁,平均34岁。单纯ACL损伤5例,合并内侧或外侧半月板损伤3例,合并后交叉韧带和或内侧副韧带损伤10例。其中5例为急性期(<3周),5例为亚急性期(3周~6个月),其余8例为陈旧性损伤(≥6个月)。所有患者均有疼痛、行走打晃症状和不同程度的伸屈功能障碍,Lachman试验、抽屉试验、轴移试验等ACL体征阳性。本组…     

全膝关节置换术病人的围术期护理

全膝关节置换术能够有效改善膝关节功能,加强围术期护理,指导病人术后早期下地活动,可以避免长期卧床引起坠积性肺炎、泌尿系感染、下肢深静脉血栓形成等并发症。     

过伸性颈椎损伤病人围术期护理

颈椎过伸性损伤往往累及颈椎及其支持结构和脊髓,其治疗包括骨牵引、石膏外固定和手术切开复位内固定。2003年5月-2008年11月我科治疗颈椎过伸性病人37例,现将护理报告如下。     

微创小切口卵圆钳辅助穿针修复急性跟腱断裂病人的围术期康复护理

[目的]总结微创小切口卵圆钳辅助穿针修复急性跟腱断裂病人围术期的康复护理。[方法]对23例急性闭合性跟腱断裂病人行微创小切口卵圆钳辅助穿针修复,同时加强围术期康复护理。[结果]23例病人均恢复良好,无并发症发生。[结论]加强急性闭合性跟腱断裂病人行微创小切口卵圆钳辅助穿针修复的康复护理有利于病人早日功能康复。     

65例膝关节周围损伤病人的围术期护理

[目的]总结膝关节周围损伤病人的围术期护理。[方法]对65例膝关节周围损伤病人进行手术,同时加强心理护理、生命体征监测、局部末梢循环观察。[结果]65例病人均安全度过围术期,术后24 h内发生血管危象1例,经再次手术探查清除血栓、重新吻合血管后恢复良好供血,肢体保全;随访4个月~24个月,病人患肢功能均恢复良好。[结论]加强膝关节周围损伤病人的围术期护理有利于预后。     

Reconstruction of chronic patellar tendon rupture with semitendinosus tendon: case report

Chronic patellar tendon rupture is a rare injury whose treatment poses technical difficulties. Surgical repair is mandatory to restore the extensor mechanism of the knee. Many different surgical methods of patellar tendon reconstruction have been described. We present the case of a 48-year-old male patient who sustained patellar tendon rupture 8 months before surgery. A semitendinosus tendon graft and the modified Ecker technique were used for the reconstruction of the patellar tendon. Full extension was achieved alongside high patient satisfaction. However, the patient required prolonged intensive rehabilitation.     

25例胸段食管破裂患者的围手术期护理

目的探讨胸段食管破裂患者的围手术期护理要点。方法回顾性分析25例食管破裂患者围手术期的护理过程。结果 22例患者治疗效果较好,康复出院;死亡3例。结论做好心理护理、呼吸道及其各种管道的护理及营养支持是提高围手术期护理质量的重要保证。     

Bilateral, spontaneous, concurrent patellar tendon rupture

Bilateral rupture of the infrapatellar tendon is extremely rare. When it occurs, it is almost always associated with connective tissue disease. We present a case of bilateral concurrent rupture of the patella tendon in a patient without any apparent systemic disease.     

跟腱断裂患者的舒适护理

目的评价跟腱断裂患者的舒适护理效果。方法2002年5月-2004年8月38例跟腱断裂患者采用舒适护理:心理、患足皮肤、体位、功能恢复的舒适护理。通过观察疗效,评价舒适护理前后效果。结果跟腱断裂患者舒适护理前后效果比较,经秩和检验,P<0.01,有显著性差异。说明舒适护理后效果优于舒适护理前。结论认为跟腱断裂患者的舒适护理,有效地帮助患者减轻痛苦,最大可能地获得舒适,减少并发症,利于功能的康复。     

小儿急性胰腺炎的围术期护理

[目的]总结小儿急性胰腺炎的围术期护理措施.[方法]回顾性分析8例急性胰腺炎患儿行手术治疗的临床资料.[结果]本组病人均顺利完成手术,术后痊愈7例,并发胰腺假性囊肿1例.[结论]加强小儿急性胰腺炎的围术期护理是手术成功的重要保障.     

小儿急性胰腺炎的围术期护理

[目的]总结小儿急性胰腺炎的围术期护理措施。[方法]回顾性分析8例急性胰腺炎惠儿行手术治疗的临床资料。[结果]本组病人均顺利完成手术,术后痊愈7例,并发胰腺假性囊肿1例。[结论]加强小儿急性胰腺炎的围术期护理是手术成功的重要保障。     

11例急性重症胰腺炎患者的围手术期护理

目的:探讨急性重症胰腺炎患者的护理方法。方法:对11例急性重症胰腺炎患者术前给予精心的心理护理及充分的术前准备,术后给予严密的生命体征监测、并发症的观察、引流管的护理、营养支持、血糖及血钙的观察以及加强基础护理措施等。结果:本组9例治愈,2例死亡。结论:对急性重症胰腺炎患者在治疗的基础上配合精细的护理措施,严密观察病情,可促进患者康复,提高患者治愈率。     

1例高龄糖尿病病人全膝关节置换术后髌腱断裂的护理

全膝关节置换术后发生伸膝装置结构断裂是一种严重并发症,通常发生在胫骨结节髌腱止点远端撕脱和断裂[1],临床少见,我科行全膝关节置换术72例,发生1例髌腱断裂,现将护理体会报告如下.     

Bilateral patellar tendon rupture secondary to repeated local steroid injections.

A case is reported of bilateral patellar tendon rupture in a fit man after a fall. He had a history of repeated local steroid injections into both tendons and histology confirmed steroid-induced changes. The history of repeated local steroid administration has to be implicated as the cause of this extremely rare injury in this patient, which can also be associated with hyperparathyroidism, systemic lupus erythematosus, diabetes and rheumatoid arthritis. All doctors performing repeated local steroid injections into the patellar tendon should be aware of the possible dangers of inducing tendon rupture and should ensure that the steroids are not delivered into its substance.     

Ligament augmentation reconstruction system artificial ligaments in patellar tendon reconstruction-a chronic patellar tendon rupture after multiple operations: A case report

BACKGROUND Patellar tendon rupture is a rare disease,and reports regarding patellar tendon reconstruction with ligament augmentation reconstruction system(LARS)ligaments are limited,with only three reports available in the literature.LARS ligaments are made of polyethylene terephthalate and have been certified as a more favorable option than other tendon transplants.To our knowledge,this is the first report of patellar tendon reconstruction with LARS for suture fixation due to poor quality of the tendon after multiple operations to enable early mobilization and quick rehabilitation.CASE SUMMARY A 65-year-old woman had limited ability in extending her leg and an inability to perform a straight leg raise after multiple operations due to patella fracture.The patient underwent patellar tendon reconstruction with LARS artificial ligaments.After 12 mo of follow-up,the patient was able to perform a straight leg raise,and the incision healed well without complications.The Lysholmscore was 95 and the range of motion of the knee was 0-130°.CONCLUSION This study revealed that patellar tendon reconstruction with LARS artificial ligaments is possible in a patient with a patellar tendon rupture who required rapid postoperative recovery.