Functional Recovery Of Affected Limb Research Articles

Application of ACE-Star evidence-based nursing model on functional exercise of breast cancer patients with modified radical mastectomy

Objective To investigate the effects of ACE-Star model on functional recovery of affected limb in breast cancer patients with modified radical mastectomy. Methods A total of 120 patients with breast cancer were recruited from the department of general surgery, Shandong Provincial Hospital between June 2014 and August 2015.Control group included 58 cases from June 2014 to January 2015 and experimental group included 62 cases from February 2015 to August 2015. The patients in experimental group were given ACE-Star evidence-based nursing, and patients in control group received routine nursing. The incidence of limb swelling at the 3rd day of post-operation, the wound effusion, bleeding and wound dehiscence within 14 days of post-operation, and the functional recovery of affected limb at the 4th week of post-operation were compared between two groups. Results Both groups had limb swelling, wound effusion and bleeding to some extent, but the incidence was significantly lower in experimental group comparing with control group (P 0.05). The recovery of limb function in experimental group was better than control group at the 4th week of post-operation (P<0.05). Conclusions The application of ACE-Star evidence-based nursing in breast cancer patients with modified radical mastectomy can effectively reduce the incidence of limb swelling, wound effusion, bleeding and dehiscence, and significantly improve the functional recovery of affected limb. Key words: ACE-Star evidence-based nursing; Modified radical mastectomy; Functional exercise; Complication

Correlation between bone mineral density and bone healing in treatment of bone defects

Objective To study whether bone mineral density (BMD) can be used to evaluate the callus growth and fracture healing in treatment of bone defects with autoallergic bone graft.Methods We enrolled for this study 21 patients with large cortical bone defects who had undergone autoallergic bone graft from July 2011 through June 2012 in our department.They were 16 men and 5 women,aged from 17 to 68 years (average,29.6 years).Their disease courses ranged from 2.5 to 120.0 months (45.4 months).All the patients were cured by debridement plus autoallergic iliac particle graft plus external fixation.At 4,6,8 and 10 months postoperation,X-ray examinations and Enneking evaluations of limb function were performed for all the limbs affected,and BMD examinations of bone callus were conducted at both graft and contralateral areas.Results X-ray manifestations showed the bone callus at the bone defect areas improved gradually with time.The Enneking scores,percentages of functional recovery and BMDs of the limbs affected,and the BMD ratio between the affected and healthy limbs at 4,6,8 and 10 months postoperation were significantly different between one another (P ＜ 0.05).At 10 months postoperation,limb functions recovered almost to the normal,reaching a percentage of 95.4％ ± 5.9％.There were significant differences between affected and healthy limbs regarding BMD at 4,6 and 8 months postoperation (P ＜ 0.05),but there was no significant difference between affected and healthy limbs in BMD at 10 months postoperation (t =1.605,P =0.128).The BMD ratio of affected limbs reached 96.7％ ± 5.1％.The BMD ratio of affected limbs increased with the functional recovery of affected limbs,showing a positive correlation (r =0.918,P ＜ 0.001).Conclusions BMD measurement is effective for evaluation of callus growth and fracture healing.When the BMD ratio reaches 96.7％ ±5.1％ or above and the percentage of functional recovery 95.4％ ±5.9％ or above,the biomechanical strength of new bone can ensure physical load-bearing of the limbs. Key words: Bone density; X-rays; Bony callus; Bone defects