{"title":"Analysis of the Effect of Integrated Orthopedic Rehabilitation Programs on Elbow Joint Function Recovery After Ulnar Olecranon Fracture Surgery.","authors":"Xu Hu, Zhuojin Wu, Shangtuan Zheng","doi":"10.2147/ORR.S545214","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effect of an integrated orthopedic rehabilitation program on elbow joint function recovery in patients after surgical treatment for ulnar olecranon fractures, compared to conventional rehabilitation.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on 87 patients who underwent surgery for ulnar olecranon fractures. Based on the standard of care at the time of admission, patients were assigned to a control group (n=42) receiving conventional rehabilitation or an observation group (n=45) receiving an integrated rehabilitation program. The integrated program comprised preoperative education, standardized in-hospital training, a structured 24-week home-based protocol with phased goals, and monitored follow-up. The primary outcome was the Mayo Elbow Performance Score (MEPS). Secondary outcomes included elbow range of motion (ROM), Activities of Daily Living (ADL) score, Visual Analog Scale (VAS) for pain, and complication rates.</p><p><strong>Results: </strong>The observation group showed a significantly higher rehabilitation effectiveness rate (97.78% vs 80.95%, p=0.026). They also achieved superior MEPS (75.31 vs 53.85, p<0.001), ADL scores (62.64 vs 55.17, p<0.001), and lower VAS scores (2.36 vs 4.36, p<0.001). Elbow ROM improvements in flexion, extension, pronation, and supination were all significantly greater in the observation group (all p<0.001). Complication rates did not differ significantly (6.67% vs 9.52%, p=0.924).</p><p><strong>Conclusion: </strong>The integrated orthopedic rehabilitation program is superior to conventional rehabilitation in promoting functional recovery, improving range of motion, enhancing daily living activities, and alleviating pain in patients after ulnar olecranon fracture surgery. However, these findings should be interpreted with caution due to the limitations of a retrospective design and a modest sample size. Integrated rehabilitation represents a highly effective postoperative management strategy for these patients.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"17 ","pages":"573-581"},"PeriodicalIF":2.0000,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12695704/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopedic Research and Reviews","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/ORR.S545214","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study aimed to evaluate the effect of an integrated orthopedic rehabilitation program on elbow joint function recovery in patients after surgical treatment for ulnar olecranon fractures, compared to conventional rehabilitation.
Methods: A retrospective cohort study was conducted on 87 patients who underwent surgery for ulnar olecranon fractures. Based on the standard of care at the time of admission, patients were assigned to a control group (n=42) receiving conventional rehabilitation or an observation group (n=45) receiving an integrated rehabilitation program. The integrated program comprised preoperative education, standardized in-hospital training, a structured 24-week home-based protocol with phased goals, and monitored follow-up. The primary outcome was the Mayo Elbow Performance Score (MEPS). Secondary outcomes included elbow range of motion (ROM), Activities of Daily Living (ADL) score, Visual Analog Scale (VAS) for pain, and complication rates.
Results: The observation group showed a significantly higher rehabilitation effectiveness rate (97.78% vs 80.95%, p=0.026). They also achieved superior MEPS (75.31 vs 53.85, p<0.001), ADL scores (62.64 vs 55.17, p<0.001), and lower VAS scores (2.36 vs 4.36, p<0.001). Elbow ROM improvements in flexion, extension, pronation, and supination were all significantly greater in the observation group (all p<0.001). Complication rates did not differ significantly (6.67% vs 9.52%, p=0.924).
Conclusion: The integrated orthopedic rehabilitation program is superior to conventional rehabilitation in promoting functional recovery, improving range of motion, enhancing daily living activities, and alleviating pain in patients after ulnar olecranon fracture surgery. However, these findings should be interpreted with caution due to the limitations of a retrospective design and a modest sample size. Integrated rehabilitation represents a highly effective postoperative management strategy for these patients.
目的：本研究旨在评价综合骨科康复方案对尺骨鹰嘴骨折术后患者肘关节功能恢复的影响，并与常规康复方案进行比较。方法：对87例尺尺骨鹰嘴骨折患者进行回顾性队列研究。根据入院时的护理标准，将患者分为接受常规康复治疗的对照组（n=42）和接受综合康复治疗的观察组（n=45）。综合方案包括术前教育、标准化的住院培训、有组织的24周家庭协议和阶段性目标，以及监测随访。主要结果为Mayo肘部表现评分（MEPS）。次要结果包括肘关节活动度（ROM）、日常生活活动（ADL）评分、疼痛视觉模拟量表（VAS）和并发症发生率。结果：观察组患者康复有效率显著高于对照组（97.78% vs 80.95%, p=0.026）。结论：综合骨科康复方案在促进尺尺骨鹰嘴骨折术后患者功能恢复、提高活动范围、增强日常生活活动能力、减轻疼痛等方面优于常规康复方案。然而，由于回顾性设计的局限性和适度的样本量，这些发现应该谨慎解释。综合康复是一种非常有效的术后管理策略。
期刊介绍：
Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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