摘要
目的:探讨双切口联合外固定支具治疗肘关节恐怖三联征的方法及疗效.方法:2015年9月-2017年4月,共治疗6例肘关节恐怖三联征.采用内外侧双切口切开复位钢板及空心钉(或无头钉)内固定骨折,修补缝合韧带、关节囊等软组织,术后1周后开始在外固定支具保护下进行肘关节功能练习.结果:骨折全部愈合,平均愈合时间15.3周.肘关节活动度屈曲90°-140°,中位数123°;旋前40°-90°,中位数74°;旋后30°-85°,中位数63°.按照肘关节HSS评分,本组优3例,良2例,一般1例.优良率85.4%.结论:双切口切开复位固定可恢复肘关节稳定性,联合支具保护下早期功能锻炼,可以最大程度的恢复肘关节的功能,达到满意的临床效果.
Objective:Discuss the method and effect of double incision combined with external fixation to treat elbow joint"terrible triad".Methods:Totally cute 6 cases of terrible triad of the elbow from September 2015 to April 2017.They all were treated with inside and outside double incision open reduction and plate and hollow screw(or headless screw)internal fixation of fracture,repaired and sutured ligament,joint capsule and other soft tissues.After operation 1 week can begin to start elbow function exercise with external fixation protection.Results:All fracture healed,the average healing time is 15.3 weeks.Elbow motion is flexion 90~140°,with median of 123°,pronation 40~90°,with median of 74°,supination 30~85°,with median of 63°.According to the elbow HSS score,there were 3 superior cases,2 fine cases,1 general case.The superior and fine rate is 85.4%.Conclusion:Double incision open reduction can restore stability of the elbow.Early function exercise combined with external fixation can maximize the recovery of elbow joint and achieve satisfactory clinical effect.
作者
杨平
YANG Ping(Shenyang orthopedic hospital,Shenyang 110044)
出处
《中国伤残医学》
2018年第21期1-2,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
肘关节恐怖三联征
内外侧双切口
外固定支具
Terrible triad of the elbow
Inside and outside double incision
External fixation
