Timing Evaluation Of Early Functional Exercise After Surgical Neck Fracture Of Humerus

Objective:To explore and evaluate the humerus surgical neck fractures in the middle-aged and old patients get early postoperative functional recovery of shoulder function best workout time.Methods:A prospective controlled study.Cases from the affiliated hospital of Chengdu University of TCM orthopedics met the inclusion criteria for inpatient surgical neck of humerus fracture patients were randomized into according to treatment.18cases in the first2d after the operation with the system of formal shoulder exercise(observation group), and the other19cases in the first2weeks after after the operation with the system of formal shoulder exercise(control group).Patients were followed up for6months, with the Constant shoulder function score system combinning the Neer shoulder function score system to evaluate postoperative shoulder function recovery at the end of the first6month and to compare the clinical fracture healing time and the clinical effect between the two groups of patients.Results:Patients were followed up for6months, according to the Constant shoulder function score,the final average score in the observation group87.3±5.2points,in the control group86.9±5.5points,the comparison between the two groups P=0.812>0.05,the difference was not statistically significant.According to the Neer shoulder function score,the final average score in the observation group88.2±4.5points,in the control group87.9±4.1points,the comparison between the two groups P=0.798>0.05,the difference was not statistically significant.The Neer shoulder score level, the observation group:excellent in6cases, good in10cases, eligible in2cases,poor in0case;the control group:excellent in5cases, good in11cases,eligible in3cases,poor in0case,the comparison between groups P=0.602>0.05,the difference was not statistically significant.The average fracture healing time, the observation group12.8±3.8weeks, the control group13.1±3.4weeks, the comparison between groups P=0.796>0.05,the difference was not statistically significant.Final terms of clinical effect,the observation group:cured in5patients, improved in13cases,healed in0case,effective rate100%;the control group:cured in6cases, improved in13 cases,healed in0cases,effective rate100%,the comparison between the two groups P=0.421>0.05,the difference was not statistically significant.Conclusions:Among middle-aged and elderly patients with humerus surgical neck fracture,2days and2weeks after the operation with the system of formal shoulder joint function exercise to promote the function recovery of shoulder joint, clinical healing of fracture and improve recent-mid clinical curative effect is quite, two kinds of ideas in clinic is good.But to most of the patients2weeks after the operation to begin function exercise are more acceptance, which have less fear, lighter pain. So we should take the tolerance level for pain and compliance in patients into consideration, choose one of the concept of individualized functional exercise plan.