CAJ | 학술논문

目的：比较肘关节骨折（恐怖三联征）手术治疗的临床疗效。方法回顾性分析在我院进行治疗的肘关节骨折（恐怖三联征）患者23例的临床资料。所有患者均采用肘内外侧联合入路骨折复位并内固定术治疗，比较治疗前后患侧肘关节屈曲活动度、前臂旋转活动度，并比较治疗后患侧和健侧肘关节屈曲活动度以及前臂旋转活动度。采用Mayo肘关节功能评分标准评价临床疗效。结果患侧手术后肘关节屈伸活动度、前臂旋转活动度较术前显著改善（P＜0.01）；术后患侧与健侧比较差异无统计学意义（P＞0.05）。优良率95.7％。结论手术治疗肘关节恐怖三联征可以取得较好的临床疗效，值得临床推广。
목적：비교주관절골절（공포삼련정）수술치료적림상료효。방법회고성분석재아원진행치료적주관절골절（공포삼련정）환자23례적림상자료。소유환자균채용주내외측연합입로골절복위병내고정술치료，비교치료전후환측주관절굴곡활동도、전비선전활동도，병비교치료후환측화건측주관절굴곡활동도이급전비선전활동도。채용Mayo주관절공능평분표준평개림상료효。결과환측수술후주관절굴신활동도、전비선전활동도교술전현저개선（P＜0.01）；술후환측여건측비교차이무통계학의의（P＞0.05）。우량솔95.7％。결론수술치료주관절공포삼련정가이취득교호적림상료효，치득림상추엄。
Objective To discuss clinical efficacy of surgery for terrible triad of the elbow. Methods Clinical data of 23 cases with terrible triad of the elbow were retrospectively analyzed. All cases were treated by inside and outside of the elbow joint approach fracture reduction and fixation. Elbow flexion degree and forearm rotation degree between ipsilateral elbow after treatment and before treatment were compared, and elbow flexion and forearm rotation between ipsilateral elbow and contralateral elbow were compared. Clinical efficacy was analyzed by Mayo elbow performance score. Results After treatment, elbow performance score of ipsilateral elbow improved apparently compared before treatment(P < 0.01);Elbow flexion degree and forearm rotation degree of ipsilateral elbow and contralateral elbow showed no significant difference after treatment(P > 0.05). Excellent rate was 95.7%. Conclusion surgery for terrible triad of the elbow shows better clinical efficacy, worthy of clinical promotion.