CAJ | 학술논문

目的探讨在关节镜下肘关节清理成形和软组织松解术治疗重度骨性关节炎及肘关节强直的临床疗效.方法 2005年3月至2009年10月,肘关节重度骨性关节炎患者34例,伴关节强直者13例.行关节镜下清理关节腔及游离体,对冠突、尺骨鹰嘴骨赘切除,冠突窝、鹰嘴窝、桡窝成形,对严重挛缩的关节囊和侧副韧带等给予必要的松解,术后指导康复训练,对比手术前后肘关节疼痛及伸屈活动度进行mayo评分.结果 34例患者肘关节的疼痛症状和活动度均有明显改善.其中13例肘关节强直者,术后伸直活动度增加(30±16)°,屈曲活动增加(34±19)°.手术前后肘关节最大ROM有差异统计学意义(P＜0.01).根据Mayo评分,34例总优良率85.3%.21例单纯骨性关节炎优良率为90.5%.结论应用关节镜术治疗肘关节重度骨性关节炎及关节强直,创伤小、并发症少、疗效可靠.
목적 탐토재관절경하주관절청리성형화연조직송해술치료중도골성관절염급주관절강직적림상료효.방법 2005년3월지2009년10월,주관절중도골성관절염환자34례,반관절강직자13례.행관절경하청리관절강급유리체,대관돌、척골응취골췌절제,관돌와、응취와、뇨와성형,대엄중련축적관절낭화측부인대등급여필요적송해,술후지도강복훈련,대비수술전후주관절동통급신굴활동도진행mayo평분.결과 34례환자주관절적동통증상화활동도균유명현개선.기중13례주관절강직자,술후신직활동도증가(30±16)°,굴곡활동증가(34±19)°.수술전후주관절최대ROM유차이통계학의의(P＜0.01).근거Mayo평분,34례총우량솔85.3%.21례단순골성관절염우량솔위90.5%.결론 응용관절경술치료주관절중도골성관절염급관절강직,창상소、병발증소、료효가고.
Objective To investigate the clinical efficacy of arthroscopic debridement, shaping and soft tissue releasing in the treatment of severe elbow osteoarthritis and ankylosis. Methods Arthroscopies were performed in 34 patients with severe elbow osteoarthritis. Among them, 13 were accompanied by ankylosis. In arthroscopic surgery, articular cavity was cleared. And loose bodies, osteophytes of coronoid process and olecranon of ulna were excised, the corocoid fossa and olecranon fossa shaped and joint capsules and collateral ligments severely contracted properly released. Rehabilitation training was guided postoperatively. Arthralgia and range of motion of elbow were scored by Mayo's scoring criteria in contrast with that preoperatively. Results The pain and range of motion ( ROM ) of elbow improved obviously in 34 patients. Angle of extension postoperatively increased by 30°± 16°and angle of flexion increased by 34°±19°. Postoperative ROM of elbow show significant difference with the preoperative status ( P ＜ 0. 01 ).According to the Mayo's scoring criteria, the excellent and good rate was 85. 3%. Conclusion Arthroscopic treatment of severe osteoarthritis and ankylosis of elbow is reliable. Trauma of arthroscopy is minimal and complications are rare.