查詢結果分析
來源資料
頁籤選單縮合
| 題 名 | 肩關節置換及其復健 |
|---|---|
| 作 者 | 畢柳鶯; | 書刊名 | 物理治療學會雜誌 |
| 卷 期 | 11 1986.11[民75.11] |
| 頁 次 | 頁26-33 |
| 分類號 | 416.61 |
| 關鍵詞 | 肩關節; 復健; 置換; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文對肩部人工關節的發展史作一完整的回顧,從中瞭解到Neer型以那 些優點脫穎而出,成為目前最普遍被採用者;並討論依據不同病理變化、手術方 法及肩部生物力學如何給病人最安全、有效的復健治療。最後列舉國外肩關節置 換之效果及遭遇之併發症,作為參考。 |
| 英文摘要 | Some patients with degenerative, rheumatoid,and traumatic diseases of the glenohumeral jointrequire a surgical procedure primarily for relief of painand secondarily for achieving better function. Humeralhead resection and arthrodesis greatly limit glenohumeral motion, while they may not eliminate all thediscomfort. Humeral head replacement designed in1951 can give complete pain relief and restorationof good function in patients with intact glenoid andgood shoulder muscles. A unconstrained total replacement protheses designed by Neer in 1974 can giveexellent results for patients with destroyed glenoidand mild or moderate impaired rotator cuff. Forpatients with nonfunctioning rotator cuff, fixedfulcrum constrained protheses can be used to replacethe rotater cuff mechanism that stabilizes the humeralor prothetic head on the shallow glenoid. The shoulder is designed for mobility rather thanweight bearing, postoperatively, early movement isnecessary to promote return of optirnun function.Self-assisted passive motion of shoulder is started onthe 5th postoperative day. Two weeks after operation,gentle isometric muscle-strengthening exercises areadded for muscles that were not surgically violated.Active or active-assisted range-of-motion exercisesare given as home program during 4 to 6 weeks aftersurgery. Vigorous stretching and isotonic musclestrengthening exercises'are usually begun 6 weeks to2 months after surgery. The exercise program shouldbe continued for at least 6 months, continuing im-provement is the rule for as long as 6 months aftersurgery and occasionally into the second postoperativeyear. |
本系統中英文摘要資訊取自各篇刊載內容。