摘要
目的：探讨人工肘关节置换联合钢板内固定治疗严重肘关节创伤的临床治疗．方法：我院收治了5例因严重肘关节创伤造成肘关节严重疼痛和功能障碍的患者，采用关节置换联合钢板内固定术来治疗，术后2d行主动及被动关节功能锻炼，3周可持物功能锻炼，3个月恢复正常活动，但避免提过重物．结果：术后对5例患者随访12～36个月，切口均一期愈合，未出现感染，无神经刺激、麻痹症状，肘关节不同程度的恢复了正常活动．在研究中，Mayo肘关节功能评分平均从35（25～61）恢复到90（61～100），肘关节活动范围从65°（10°～95°）到术后的100°（90°～125°）．X线随访未见肘关节假体轴心移位及关节脱离，亦无假体柄断裂．结论：人工肘关节置换联合钢板内固定治疗严重肘关节创伤，安全可靠且并发症少，大大的提高了患肢功能和患者的生活质量，值得临床推广应用．
AIM：To investigate the clinical effect of elbow replacement combined with plate fixation in the treatment of severe elbow trauma.METHODS：5 patients were admitted to our hospital because of severe traumatic elbow causing severe pain and dysfunction of elbow joint,adopted the joint replacement combined with plate fixation for treatment.Do active and passive functional exercise of knee joint after 2 days,and they can do a function exercise after 3 weeks,resumed normal activities after 3 months,but avoided too heavy.RESULTS：After operation,5 patients were followed up for 12 ～36 months,all the wounds healed,no infection,no nerve stimulation,paralysis,and the elbow joint returned to normal activities on different levels.The Mayo elbow function score was from 35 （25 ～61 ）to 90 （61 ～1 00）,and elbow joint activities range was from 65°（1 0°-95°） to postoperative 1 00°（90°～1 25°）.X-ray follow-up has no el-bow prosthesis axial displacement, joint detachment, and no periprosthetic fracture.CONCLUSION：The therapeutic method that Artificial elbow joint replacement combined with plate fixation in the treatment of severe traumatic elbow is safe and reliable, less complications,and greatly improves the limb function and quality of life of patients.It is worthy of clinical application.
出处
《转化医学电子杂志》
2014年第5期98-99,共2页
E-Journal of Translational Medicine
