CAJ | 학술논문

目的探讨Stryker铰链外固定架治疗肘部疾患的临床疗效. 方法采用动态Stryker铰链外固定架治疗肘部疾患11例,9例获完整随访,男8例,女1例;平均年龄39.6岁(21～52岁).左侧3例,右侧6例;主力侧上肢7例,非主力侧卜肢2例.肘关节僵硬4例,肘部"三联征"2例,肘关节脱位合并多发骨折3例.结果平均随访6.7个月(5～8个月),MEPS平均84.4分(55～100分),优2例,良6例,差1例.平均ROM 110°(40°～145°),其中4例肘关节松解患者,术前平均ROM为30.0°±15.8°,术后平均ROM为112.5°±13.2°;术前平均MEPS为(41.3±13.2)分,术后平均MEPS为(83.8±2.5)分;差异均有统计学意义(P＜0.05).其余5例患者平均ROM为108°,平均MEPS为85分.除1例术后Schanz针周围皮肤有少许渗液外,无发生螺钉松动及感染.1例合并桡神经损伤,术后6个月完全恢复. 结论用Stryker铰链式外固定架治疗肘部僵硬或肘部不稳定性骨折脱位可获得较满意疗效,值得临床推广应用.
목적 탐토Stryker교련외고정가치료주부질환적림상료효. 방법채용동태Stryker교련외고정가치료주부질환11례,9례획완정수방,남8례,녀1례;평균년령39.6세(21～52세).좌측3례,우측6례;주력측상지7례,비주력측복지2례.주관절강경4례,주부"삼련정"2례,주관절탈위합병다발골절3례.결과 평균수방6.7개월(5～8개월),MEPS평균84.4분(55～100분),우2례,량6례,차1례.평균ROM 110°(40°～145°),기중4례주관절송해환자,술전평균ROM위30.0°±15.8°,술후평균ROM위112.5°±13.2°;술전평균MEPS위(41.3±13.2)분,술후평균MEPS위(83.8±2.5)분;차이균유통계학의의(P＜0.05).기여5례환자평균ROM위108°,평균MEPS위85분.제1례술후Schanz침주위피부유소허삼액외,무발생라정송동급감염.1례합병뇨신경손상,술후6개월완전회복. 결론용Stryker교련식외고정가치료주부강경혹주부불은정성골절탈위가획득교만의료효,치득림상추엄응용.
Objective To evaluate Stryker external fixator, DJD Ⅱ (Dynamic Joint Distractor Ⅱ), in treatment of elbow stiffness and instability. Methods Eleven patients with elbow stiffness and insta-bility were treated with DJD Ⅱ. Follow-up was completed in 9 of them, 8 males and 1 female. Their average age was 39.6 (21 to 52) years. The injury involved the left side in 3 cases and the fight side in 6; the upper limb on the dominant side in 7 eases and the upper limb on the non-dominant side in 2. Four cases had post-trauma stiffness of the elbow, 2 triad of the elbow, and 3 elbow dislocations combined with various fractures. Results The average follow-up time was 6.67 months. In the 4 cases of elbow stiffness, the mean ROM was 30.0°+ 15.8° before operation and 112.5°+ 13.2° after operation; the mean Mayo elbow score was 41.3 + 13.2 before operation and 83.8 ±2.5 after operation, Both showed a significant difference ( P ＜ 0.05) . In the other 5 eases, the average ROM of the elbow flexion-extension was 108° and the mean Mayo elbow score was 85. Totally, 2 cases were excellent, 6 good and 1 poor. Slight complications were observed in only 2 cases. Conclusion The Stryker DJD Ⅱ can obtain favorable effects in treatment of patients with elbow stiffness or unstable fracture dislocation.