摘要
目的:探讨手术时采用前、外双切口的方法治疗肘关节恐怖三联征的临床效果。方法:2008年10月-2014年2月收治肘关节恐怖三联征患者5例。其中桡骨小头骨折MasonⅡ型3例,Ⅲ型2例;尺骨冠突骨折Regan-MorreyⅠ型3例,Ⅱ型2例。5例患者均采取了手术内固定治疗。手术后屈肘90°,前臂旋转至中立位后,进行石膏外固定。2~3周后患者开始进行屈伸和旋转的康复训练。结果:4例患者经3个月~2年的随访,均骨折处已愈合,肘关节稳定,活动时并无疼痛。失访1例,4例随访Mayo肘关节功能评分优(92分)。结论:肘关节恐怖三联征采用肘前内侧和肘外侧联合入路的手术方式,同时配合术后早期功能训练进行治疗效果满意。
Objective:To investigate the clinical effect of front,outer double incision in the treatment of terrible triad of the elbow joint.Methods:5 patients with terrible triad of the elbow joint were selected from October 2014 to February 2008.There were 3 cases of Mason type Ⅱ radial head fractures,and 2 cases of type Ⅲ;3 cases of Regan-Morrey type fractures of ulna coronoid process,and 2 cases of type Ⅱ.5 patients were taken the treatment of internal fixation operation.Then elbow 90 degrees after operation,and forearm rotation to the neutral position,then make plaster external fixation.After 2~3 weeks,patients were started rehabilitation training such as flexion and rotation.Results:4 patients were followed-up for 3 months to 2 years,and all of them were fractures healed,elbow joint stability,and they had no pain during activity.1 case was lost of follow-up,the Mayo elbow performance score in those 4 cases who were followed up were excellent(92 points).Conclusion:Surgical method ofelbow anterior medial and lateral elbow joint approach used in patients with terrible triad of the elbow joint and given early postoperative functional training at the same time can achieve satisfactory treatment effect.
出处
《中国社区医师》
2015年第6期41-42,共2页
Chinese Community Doctors
关键词
前、外双切口
肘关节恐怖三联征
手术治疗
The former double incision
Terrible triad of the elbow joint
Surgical treatment
