期刊文献+

关节镜下松解术在肘关节僵硬中的应用 被引量:10

Clinical application of arthroscopic arthrolysis for the treatment of elbow stiffness
下载PDF
导出
摘要 目的探讨关节镜下肘关节松解术治疗肘关节僵硬的临床疗效。方法沈阳军区总医院骨科2014年10月至2016年2月收治因外伤致肘关节僵硬需行松解术患者34例,其中失访3例,最终31例纳入研究。所有患者均行关节镜下肘关节松解术,术中去除关节内增生骨赘及束带、清理关节腔以尽量恢复关节面的平整、松解痉挛的关节囊及周围韧带,术后辅以手法松解,配合镇痛及康复理疗锻炼。对比肘关节手术前后的活动度,应用Mayo评分系统进行疗效评价。结果 31例患者均术后随访9~12个月,平均(10.4±1.5)个月,术前肘关节平均最大屈曲角度为(87.6±5.9)°,伸直角度为(35.5±6.4)°,旋前角度为(75.9±9.6)°,旋后角度为(67.2±7.4)°,与术后相应的(125.9±6.5)°、(5.0±1.9)°、(82.0±9.1)°、(81.0±7.0)°比较,差异均有统计学意义(P<0.05)。术前患者平均肘关节Mayo评分为(61.9±7.6)分,术后为(88.8±4.7)分,术后评分显著提高,差异有统计学意义(P<0.05)。结论关节镜下肘关节镜松解术具有术野清晰、微创及术后恢复快等优点,能有效改善肘关节活动度,是治疗肘关节僵硬的有效术式。 Objective To evaluate the clinical results of arthroscopic arthrolysis for the treatment of elbow stiffness.Methods Totally34 cases with elbow stiffness caused by trauma who needed to undergo arthroscopic arthrolysis were selected from General Hospital of Shenyang Military Area Command from October 2014 to February 2016.Among them,3 cases were lost to follow-up,and the other 31 cases were included in the study.All the patients were performed arthroscopic arthrolysis.Removed the hyperplasia of osteophyte and girdle,cleaned the articular cavity,restored the smooth of articular surface,and released the joint capsular and ligament around the elbow joint during the operation.Manipulation release was used coordinate with analgesia and rehabilitation therapy after operation.Mayo scores of elbow were used for function evaluation and range of motion(ROM) was collected.Results Patients were followed-up from 9 months to 12 months,(10.4±1.5)months on average.Before the operation,the mean maximal flexion angle of the elbow was(87.6±5.9)°,the extension angle was(35.5±6.4)°,the pronation angle was(75.9±9.6)°,the rotational angle was(67.2±7.4)°,and it was(125.9±6.5)°,(5.0±1.9)°,(82.0±9.1)°,(81.0±7.0)°respectively after operation,and the differences before and after opreation were statistically significant(P〈0.05).The Mayo scores was(61.9±7.6) preoperatively and(88.8±4.7) postoperatively,and the difference was statistically significant(P〈0.05).Conclusion Arthroscopic arthrolysis has the advantages of clear operative field,minimal invasion and rapid recovery.It can effectively improve the elbow joint activity and arthroscopic arthrolysis is an effective surgical treatment for elbow stiffness.
出处 《局解手术学杂志》 2017年第5期327-330,共4页 Journal of Regional Anatomy and Operative Surgery
基金 辽宁省科学技术计划项目面上项目(2015020446)
关键词 关节镜 关节松解术 肘关节僵硬 关节功能 活动度 arthroscopy arthrolysis elbow stiffness function of joint range of motion
  • 引文网络
  • 相关文献

参考文献6

二级参考文献113

  • 1Morrey BF,Askew LJ,Chao EY.A biomechanical study of normal functional elbow motion[J].J Bone Joint Surg Am,1981,63(6):872-877.
  • 2Grishkevich VM.The post-burn elbow medial flexion scar contracture treatment with trapeze-flap plasty[J].Burns,2009,35(2):280-287.
  • 3Cantin O,Mezzadri G,Gazarian A,et al.Early surgical anterior release for congenital and isolated elbow contracture in flexion:a case report of a 16-monthold child[J].Orthop Traumatol Surg Res,2012,98(4):465-469.
  • 4Kay N.Arthrolysis of the post-traumatic stiff elbow[A].Surgery of the Flbow[M].London:Arnold,1998:228-234.
  • 5Morray B.Post-traumatic contracture of the elbow.Operative treatment,including distraction arthroplasty[J].J Bone Joint Surg Am,1990,72(4):601-618.
  • 6Jupiter J,O'Driscoll S,Cohen M.The assessment and management of the stiff elbow[J].Instr Course Lect,2003,52:93-111.
  • 7le Duff MJ,Takamura KB,Amstutz HC Incidence of heterotopic ossification and effects of various prophylactic methods after hip resurfacing[J].Bull NYU Hosp Jt Dis,2011,69(Suppl 1):S36-S41.
  • 8Haran M,Bhuta T,Lee BS.WITHDRAWN:Pharmacological interventions for treating acute heterotopic ossification[J].Cochrane Database Syst Rev,2010,5:CD003321.
  • 9Vasileiadis G,Sakellariou V,Kelekis A,et al.Prevention of heterotopic ossification in cases of hypertrophic osteoarthritis submitted to total hip arthroplasty.Etidronate or Indomethacin?[J].J Musculoskelet Neuronal Interact,2010,10(2):159-165.
  • 10Mamdani M,Rochon PA,Juurlink DN,et al.Observational study of upper gastrointestinal haemorrhage in elderly patients given selective cyclo-oxygenase-2 inhibitors or conventional non-steroidal anti-inflammatory drugs[J].BMJ,2002,325(7365):624-629.

共引文献81

同被引文献83

引证文献10

二级引证文献12

;
使用帮助 返回顶部