摘要
目的探讨肘关节松解术结合单臂铰链式外固定架治疗创伤性肘关节僵硬的临床效果.方法选取2017年2月-2020年10月在该院骨科进行诊治的100例创伤性肘关节僵硬患者为研究对象,按照随机数字表法分为对照组(n=50)和研究组(n=50).对照组采用单纯肘关节松解术治疗,研究组采用肘关节松解术联合单臂铰链式外固定架治疗.记录并比较两组患者治疗前、治疗后6个月的肘关节活动度与Mayo肘关节功能评分以及肘关节功能恢复情况.结果两组治疗前的肘关节活动度与Mayo肘关节功能评分比较,组间差异无统计学意义(P>0.05).与对照组相比,研究组患者治疗后6个月的肘关节活动度、Mayo肘关节功能评分均更优,组间差异有统计学意义(P<0.05).治疗后,研究组患者的肘关节功能恢复优良率明显高于对照组,差异有统计学意义(P<0.05).结论肘关节松解术与单臂铰链式外固定架联合治疗创伤性肘关节僵硬,能够有效改善患者的肘关节活动度与功能,值得在临床上推广应用.
Objective To investigate the clinical effect of elbow release surgery combined with single-arm hinged external fixator in the treatment of traumatic elbow stiffness.Methods A total of 100 patients with traumatic elbow stiffness who were diagnosed and treated in the orthopedics department of the hospital from February 2017 to October 2020 were divided into a control group(n=50)and a study group(n=50)according to a random number table.The control group was treated with simple elbow release surgery,and the study group was treated with elbow release surgery combined with singlearm hinged external fixator.The elbow joint range of motion and Mayo elbow performance score before treatment and 6 months after treatment and the recovery of elbow joint function were recorded and compared between the two groups of patients.Results There was no significant difference between the two groups'elbow joint range of motion and Mayo elbow performance score before treatment(P>0.05).Compared with the control group,patients in the study group had better elbow range of motion and Mayo elbow performance score 6 months after treatment,and the differences between the groups were statistically significant(P<0.05).After treatment,the excellent rate of recovery of elbow joint function in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Elbow release surgery and single-arm hinged external fixator combined to treat traumatic elbow stiffness can effectively improve the patient's elbow joint mobility and function,and it is worthy of clinical application.
作者
吴训妥
叶焕竞
WU Xuntuo;YE Huanjing(Department of Orthopedics,Hengxian People's Hospital,Nanning Guangxi,530300,China)
出处
《反射疗法与康复医学》
2021年第13期109-111,共3页
Reflexology And Rehabilitation Medicine
