摘要
目的：分析开放手术联合外固定架治疗肘关节僵硬的临床效果。方法：46名实施开放肘关节联合外固定手术治疗的患者中,38人为后正中入路,8人为内侧入路,同时联合使用外固定支架辅助患者早期康复和锻炼。并对全部患者实施常规尺神经松解前置。通过Mayo肘关节功能评分判断治疗前后的疗效。结果：全部患者接受8~24个月的随访。患者在术前肘关节的屈伸活动度为（11.0°±10.5°）,术后改善为（117.8°±24.5°）;患者的Mayo肘关节功能术前平均为（48.8±10.1）分,术后提升至（89.5±11.6）分,手术前后的两项指标差异明显。结论：开放手术联合外固定架治疗肘关节僵硬可以实现肘关节功能的良好恢复,并且对关节术后不稳存在预防作用,有利于术后的康复锻炼。
Objective To analyze the therapeutic effect of open surgery combined with external fixator in the treatment of elbow joint stiffness.Methods Among 46 patients who implemented open surgery combined with external fixator, 38 patients were implemented by posterior median approach, the other 8 by medial approach. All patients implemented routine ulnar nerve relaxation. Evaluation of preoperative and postoperative elbow function was done by the functional scoring of Mayo.Results All patients were followed up for 8～24months. The elbow flexion and extension activity of the preoperative and postoperative patients was from（11 ±10.5）°to（117.8±24.5）°.The Mayo elbow function scores of the preoperative and postoperative patients were from（48.8±10.1） to（89.5±11.6）.There were significant differences between the two results before and after operation.Conclusion Open surgery combined with external fixator for treatment of elbow stiffness can make the elbow joint function to recover better and prevent from postoperative instability of the elbow joint. It is beneficial to postoperative rehabilitation exercise.
出处
《中国中西医结合外科杂志》
CAS
2016年第5期453-455,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
开放手术
肘关节僵硬
外固定架
治疗效果
Open surgery
elbow stiffness
external fixator
curative effect
