ĐÁNH GIÁ KẾT QUẢ PHỤC HỒI CHỨC NĂNG SAU PHẪU THUẬT NẸP VIS XƯƠNG ĐÒN TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objectives: The study was conducted to evaluate the effectiveness of rehabilitation exercises for patients after clavicle plate fixation surgery. Methods: The study used an uncontrolled longitudinal study design, conducted for 12 months at Viet Duc Friendship Hospital on 93 patients who met the selection criteria. The output results were upper limb function including range of motion of the shoulder on the side of the clavicle fracture, and the Constant – Murley scale. Patients were evaluated before intervention, 1 month and 3 months after discharge. Results: Ninety-three patients, mainly men, young, had clavicle fractures due to traffic accidents, on the dominant hand and in the middle 1/3 of the collarbone. The average hospital stay was 5.8 (4.0) days. Patients achieved improvement in both range of motion and function according to Constant-Murley over time (p<0.001). Most patients achieve maximum shoulder range of motion and a Constant-Murley score of good or better after 3 months. No patient reported complications at the fracture site. Conclusion: Early mobilization and rehabilitation exercises are beneficial for patients after clavicle plate fixation surgery with the goal of returning to activities and sports as before the incident.