摘要
目的探讨手术松解联合单臂铰链式外固定架治疗对创伤后肘关节僵硬的改善作用。方法选取2013年1月—2018年1月就诊120例创伤后肘关节僵硬患者进行研究,按照随机数字表法进行分组,对照组行单纯松解术治疗,观察组(n=60)行手术松解联合单臂铰链式外固定架治疗,比较2组的手术效果。结果治疗前,2组肘关节功能评分(Mayo)、肘关节活动度差异无统计学意义(P> 0. 05);治疗后,观察组均明显优于对照组(P> 0. 05),且观察组患者肘关节优良率明显高于对照组(P <0. 05)。结论采用手术松解联合单臂铰链式外固定架方式对肘关节僵硬患者实施治疗可显著改善患者肘关节功能及活动度。
Objective To investigate effect of surgical release and one-arm hinged external fixator on the improvement of post-traumatic elbow stiffness. Methods A total of 120 patients with post-traumatic elbow joint stiffness from January 2013 to January 2018 is selected, and were divided into two groups according to random number table method, control group（ n =60） applied lysis treatment, while observation group（ n =60） performed combined therapy of surgical release and single arm hinged external fixator, operation effect of two groups were compared. Results Before treatment, elbow joint function score （Mayo） and elbow joint mobility showed no significant differences（ P 〉 0.05）, but the observation group was significantly better than the control group after treatment （ P 〈0.05）. The excellent rate of elbow joints in the observation group was significantly higher than that in the control group （ P 〈0.05）. Conclusion Surgical release combined with one-arm articulated external fixator for the treatment of patients with stiff elbow joints can significantly improve the elbow joint function and mobility.
作者
妙定坤
王延军
MIAO Dingkun;WANG Yanjun(Department of Orthopaedics,Daxing Hospital in Xi′an City,Xi′an,Shaanxi,710016)
出处
《实用临床医药杂志》
CAS
2018年第21期92-94,共3页
Journal of Clinical Medicine in Practice
基金
吴阶平医学基金会临床科研专项资助课题(320-2745-16-89)
关键词
手术松解
单臂铰链式外固定架
肘关节僵硬
关节功能
surgical release
one-arm hinged external fixator
elbow stiffness
function of elbow joints
作者简介
通信作者： 王延军, E-mail： wangyanjun0308@163.com
