摘要
目的 :对非外伤性肘关节强直患者在关节镜下行尺骨鹰嘴及冠突切除术 ,其中 6例附加后方关节囊松解术 ,并评价其疗效。结果 :全部病例术后随访 2个月时肘关节完全伸直平均 3°(好转 14°) ,完全屈曲位平均 12 2°(好转35°) ;术后 1年时肘关节伸直位平均 5°(好转 12°) ,屈曲位 113°(好转 2 5°)。关节活动范围内不伴有疼痛 ,未出现术后并发症。结论 :关节镜是对肘关节骨性强直可早期康复的有效术式 ,术后并发症少。
Objective: To describe long-term clincal results and serial changes in the postoperative range of motion(ROM) after arthroscopic treatment for a limitation of motion(LOM) of the elbow.Methods:The subjects were twenty-one patients ranging from 37 to 54 years of age,and the average age were 43.2 years.All patients underwent the arthroscopic removal of the spur in the olecranon and coracoid spur and removal of loose bodies in selected cases.The average follow-up were 16.8 months(range,14 to 27 months).Results:The total ROM was 70° preoperatively.One year after operation the flexion contracture improved from 17° to 3° with further flexion from 87° to 122°.All patients reported a decresed in pain as well as improvement in motion.There was no complication in this series.Conclusion:Arthroscopic surgery appears to be satisfactory management modality for degenerative elbow contractures.
出处
《中国矫形外科杂志》
CAS
CSCD
2003年第5期308-309,共2页
Orthopedic Journal of China
