摘要
目的探讨肘关节开放松解术联合外固定支架治疗肱骨骨折术后肘关节僵硬患者的临床疗效。方法选取2014~2015年1月我院收治的76例肱骨骨折术后肘关节僵硬患者进行前瞻性研究,根据随机分配原则分为对照组和观察组各38例。对照组单纯给予肘关节开放松解术治疗,观察组给予肘关节开放松解术联合铰链式外固定支架治疗,术后随访18个月观察手术固定效果及并发症情况,比较两组患者肘关节功能评分(Mayo)、肘关节活动度及生活质量量表(GQOL-74)评分变化。结果两组手术均取得成功,肘关节松解充分,术后并发症发生率低;两组均获18个月随访,无中途退出或脱落病例。观察组术后肘关节活动度、Mayo评分分别较对照组有显著提高,差异有统计学意义(P<0.05);观察组随访期末生活质量评分较对照组有显著提高,差异有统计学意义(P<0.05)。结论肘关节开放松解术联合外固定支架治疗肘关节僵硬效果显著,患者术后肘关节活动度、关节功能恢复优于单纯松解术,改善预后生存质量,临床应用价值较好。
Objective To explore clinical effects of elbow joint arthrolysis combined with external fixation in the treatment of elbow stiffness after the humeral fracture. Methods From January 2014 to January 2015, 76 cases were analyzed. All patients were divided into 2 groups randomly： the control group（ n = 38）, the observation group（ n = 38）. The control group was treated with elbow joint arthrolysis, while the observation group elbow joint arthrolysis ＋ external fixator. A follow-up of 18 months was conducted to observe fixation effects and complications. Elbow joint function score（ Mayo）, range of motion（ ROM） and quality of life scale（ GQOL 74） were evaluated. Results Operations in 2 groups were successful. Elbow joints were released completely, and the complication rate was low. No drop out or fall off cases in the follow-up. The elbow ROM, Mayo scores, quality of life scale（ GQOL 74） in the observation group were significantly improved than the control group with statistical significance（ P〈0.05）. Conclusions Elbow arthrolysis ＋ external fixation is significantly effective in the treatment of elbow stiffness with better ROM and functions than the simple arthrolysis. It can improve the quality of life with good clinical applications.
作者
高鹏
李翰鹏
姜磐
GAO Peng;LI Han-peng;JIANG Pan(Langfang fourth People＇s Hospital, Langfang, Hebei, 065700, Chin)
出处
《中国骨与关节杂志》
CAS
2017年第11期806-809,共4页
Chinese Journal of Bone and Joint
关键词
肱骨骨折
肘关节
开放松解术
外固定器
治疗结果
Humeral fractures
Elbow joint
Open release
External fixators
Treatment outcome
