·综述·肌力训练在预防髋部骨折关节置换术后脱位的作用及研究进展游世英,杨伶俐,熊雁,路星辰,岑媛陆军军医大学大坪医院骨科,重庆400042【通信作者】岑媛,E-mail:24543319@qq.com【摘要】髋部骨折与手术创伤引起髋部肌肉多次损伤,以至于关节活动度、肌力、假体稳定性明显降低,从而增加关节置换术后假体脱位率,一旦脱位需再复位将额外增加患者痛苦,并发症发生率也随之增高,甚至导致假体使用寿命显著缩短。基于此,对关节假体脱位诱因进行综合分析,发现术后肌肉力量康复训练方式不当在假体脱位诸多原因中占比较大。本文对髋部、下肢、核心等肌力训练的方法及内容进行细颗粒度综述,指导临床康复护理实践,为后续研究降低髋关节置换术后假体脱位发生率提供技术支撑。【关键词】髋部骨折;关节置换;假体脱位;肌力训练;康复【中图分类号】R683【文献标识码】A【DOI】10.3969/j.issn.1009-4237.2023.06.014MusclestrengthtraininginpreventingdislocationoftheprosthesisafterhipreplacementYouShiying,YangLingli,XiongYan,LuXingchen,CenYuanDepartmentofOrthopedics,DapingHospital,ArmyMedicalUniversity,Chongqing400042,China【Abstract】Hipfracturesandsurgeriescausemultiplelesionstothehipmuscles,resultinginsignificantre-ductionsinjointactivity,musclestrength,andprosthesisstability,whichincreasestherateofdislocationofthepros-thesisafterjointreplacementsurgery.Oncethedislocationisrepositioned,additionalpainiscreatedforthepatient,togetherwithincreasedincidenceofcomplications,andevenasignificantlyreducedservicelifeoftheprosthesis.Basedonthis,acomprehensiveanalysisofthecausesofdislocationofjointprostheseswasconducted,whichfoundthatimpropermusclestrengthrehabilitationtrainingaftersurgeryaccountsforalargeproportionofcauses.Thisarti-clesummarizesthemethodsandcontentsofmusclestrengthtrainingforthehip,lowerlimbs,andcoreinafine-grainedanalysismanner,whichisbelievedtohaveguidingsignificanceforclinicalrehabilitationnursingpractice,andtoprovidetechnicalsupportforsubsequentresearchinreducingdislocationoftheprosthesisafterhipreplacement.【Keywords】Hipfractures;Hipreplacement;Prosthesisdislocation;Musclestrengthtraining;Rehabilitation据统计,因髋部骨折行关节置换术的数量...
