转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2014年
5期
98-99
,共2页
人工肘关节置换%钢板内固定%肘关节创伤
人工肘關節置換%鋼闆內固定%肘關節創傷
인공주관절치환%강판내고정%주관절창상
elbow replacement%plate fixation%elbow trauma
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．
目的：探討人工肘關節置換聯閤鋼闆內固定治療嚴重肘關節創傷的臨床治療．方法：我院收治瞭5例因嚴重肘關節創傷造成肘關節嚴重疼痛和功能障礙的患者，採用關節置換聯閤鋼闆內固定術來治療，術後2d行主動及被動關節功能鍛煉，3週可持物功能鍛煉，3箇月恢複正常活動，但避免提過重物．結果：術後對5例患者隨訪12～36箇月，切口均一期愈閤，未齣現感染，無神經刺激、痳痺癥狀，肘關節不同程度的恢複瞭正常活動．在研究中，Mayo肘關節功能評分平均從35（25～61）恢複到90（61～100），肘關節活動範圍從65°（10°～95°）到術後的100°（90°～125°）．X線隨訪未見肘關節假體軸心移位及關節脫離，亦無假體柄斷裂．結論：人工肘關節置換聯閤鋼闆內固定治療嚴重肘關節創傷，安全可靠且併髮癥少，大大的提高瞭患肢功能和患者的生活質量，值得臨床推廣應用．
목적：탐토인공주관절치환연합강판내고정치료엄중주관절창상적림상치료．방법：아원수치료5례인엄중주관절창상조성주관절엄중동통화공능장애적환자，채용관절치환연합강판내고정술래치료，술후2d행주동급피동관절공능단련，3주가지물공능단련，3개월회복정상활동，단피면제과중물．결과：술후대5례환자수방12～36개월，절구균일기유합，미출현감염，무신경자격、마비증상，주관절불동정도적회복료정상활동．재연구중，Mayo주관절공능평분평균종35（25～61）회복도90（61～100），주관절활동범위종65°（10°～95°）도술후적100°（90°～125°）．X선수방미견주관절가체축심이위급관절탈리，역무가체병단렬．결론：인공주관절치환연합강판내고정치료엄중주관절창상，안전가고차병발증소，대대적제고료환지공능화환자적생활질량，치득림상추엄응용．
AIM:To investigate the clinical effect of elbow re-placement combined with plate fixation in the treatment of severe elbow trauma.METHODS:5 patients were admitted to our hos-pital because of severe traumatic elbow causing severe pain and dysfunction of elbow joint,adopted the joint replacement com-bined 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 1 2 ~36 months,all the wounds healed,no infection,no nerve stimulation,paralysis,and the el-bow 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.
