摘要
Abstract
Objective: Manual lysis and arthroscopic lysis were usually performed to deal the primary frozen shoulder at the same time , sometimes manual lysis was first performed ,and then the arthroscopic lysis in the same treatment process, sometimes the order was just the opposite.In terms of surgical procedure and postoperative rehabilitation, whether there were differences between the two different sequential methods in the same treatment process.Methods: 48 patients who were operated on were divided into two groups , 25 patients were divided into group A , among group A arthroscopic lysis was first performed , and then the manual lysis , 23 patients were divided into group B , among group B manual lysis was first performed , and then the arthroscopic lysis.13 male cases and 12 female cases were in the group A , their average age was (59±7.2)years old.11 male cases and 12 female cases were in the group B , their average age was (60±2.2)years old.The course of disease of all 48 patients was more than 6 months;conservative treatment did no clinical effect among all 48 patients.Constant evaluation method and ASES evaluation method were used to evaluate clinical effect , a number of indexes were used to describe the process of surgical procedure and postoperative rehabilitation.Results: All 48 patients were followed up for 8~30 months with an average of (21±2.4)months.Although the result of the shoulder condition was satisfied after the same rehabilitation program , there existed significant difference on influence of surgical procedure and postoperative rehabilitation after the two different sequential methods in the same treatment process , the difference was statistically significant(P<0.01).Conclusion: The two different sequential methods in the same treatment process could affect surgical procedure and postoperative rehabilitation , It was more reasonable that arthroscopic lysis was supplemented with manual lysis to deal the primary frozen shoulder.关键词
原发性冻结肩/关节镜/手法/松解/顺序Key words
Primary frozen shoulder/Arthroscope/Manipulation/Lysis/Sequence分类
医药卫生
