Orthopaedic Nursing最新文献

This study aims to evaluate the incidence of calcaneal spurs in patients presenting with ankle sprains and to determine the association between the presence of spurs and the severity of the trauma sustained. Calcaneal spurs occur in 15-20% of the general population, and when symptomatic, they can have a considerable negative impact on an individual's quality of life. We conducted a retrospective analysis of individuals aged 18 years and above who presented with ankle sprains in the emergency department over the course of 1 year. A total of 3,667 patients with ankle sprains were included in the study, with a mean age of 36.6 ± 14.2 years; 55.3% were male. Calcaneal spurs were detected in 46.3% of patients, and fractures were observed in 15.3%. Surgical intervention was required in 4.6% of the cases. The distribution of trauma severity was as follows: Grade 0 (46.6%), Grade 1 (40.4%), Grade 2 (8.4%), and Grade 3 (4.6%). A significant association was found between the presence of calcaneal spurs and increasing trauma severity grades (p < .001). Patients with calcaneal spurs had significantly higher rates of fractures, splint application, hospitalization, and surgery (p < .001). Receiver operating curve analysis showed that calcaneal spur length significantly predicted trauma severity, with an area under the curve of 0.794 (95% CI: 0.772-0.816). The optimal cut-off value was determined as 0.75 cm, yielding 82.1% sensitivity and 62.6% specificity. The presence of calcaneal spurs is significantly associated with increased trauma severity in patients with ankle sprains, highlighting the importance of early diagnosis and comprehensive management to potentially reduce severe outcomes and improve patient quality of life.

One of the most painful orthopedic surgeries reported is total knee arthroplasty (TKA). Pain management protocols for patients who have had a TKA include enhanced recovery after surgery (ERAS) and multimodal analgesia (MMA) to help decrease opioid consumption. Cryoneurolysis is another method to add preoperatively to this regimen to help patients experience lower pain levels and increase mobility at a faster rate. Non-narcotic methods, such as cryoneurolysis, may give patients improved pain control without adverse effects. The objective of this evidence-based practice project is to examine the impact of adding cryoneurolysis to a Total Joint Replacement Program, specifically the TKA patients. This project supported the objective that patients who have preoperative cryoneurolysis reported more pain control and increased range of motion after having a TKA when compared to standard care.

This single-blind controlled clinical trial compared the effectiveness of rhythmic breathing and music therapy in managing pain, anxiety, heart rate, and blood pressure in patients following orthopedic surgery. A total of 90 patients were recruited from the orthopedic departments of Shahid Chamran Hospital, Shiraz, after orthopedic surgery on the lower limb. Patients were randomly assigned to the intervention and control groups. The rhythmic breathing group practiced breathing techniques for 20 minutes postsurgery, while the music therapy group listened to their chosen instrumental music for the same duration. The control group received no specific intervention. Pain intensity, anxiety levels, pulse rate, and systolic and diastolic blood pressure decreased in both the rhythmic breathing and music therapy groups compared to the control group at both 12 and 24 hr postsurgery (p < .05). The comparison of results between the music therapy and rhythmic breathing groups showed no significant differences in pulse rates or blood pressure (p > .05). Rhythmic breathing was notably effective for pain reduction, while music therapy significantly decreased anxiety levels. These results suggest that integrating nonpharmacological interventions can improve postoperative care and recovery, warranting further research on their long-term benefits and clinical applications.