陈旧性肘关节脱位并骨性强直的治疗研究

Treatment of Elbow Joint Traumatic with Old Dislocation and Osteo-anklyosis

目的研究陈旧性肘关节脱位并骨性强直的手术治疗和康复方法。方法采用MeConnell肘后皮肤切口结合Campbell后侧入路显露肘关节及肱三头肌腱延长,肘关节松解复位术,并早期进行康复训练。结果全部患者的伤口均一期愈合,无明显异位骨再生,活动无疼痛,无并发症,短期随访功能恢复良好。结论后入路松解复位术适于陈旧性肘关节后脱位并伸肘位骨性强直未超过12周的病例,结合康复治疗能有效减轻组织反应,促进功能恢复。

Objective To study operative treatment and recovery methods of traumatic elbow joint damage with old dislocation and osteo-ankylosis. Methods 6 cases with traumatic elbow with old dislocation and osteo-ankylosis at extending position for 2 to 3 months without any treatment were operated reduction and arthroplasty through Me Connell＇s operative incision and Campbell＇s outer margin of elbow way to extend triceps tendon in recent 1 year. Recovery treatments were given. The internal fixations and plastic plates were removed at 3 weeks late. Results 6 cases were followed up by a short term from 2 to 10 months （average 6 months）. The elbow joints could move the angles from 50 to125°（average 79°） without painful. In accordance with the Zhang Chang-song＇s performance score, 2 cases excellent results, 3 cases with better results, 1 cases with well, none with bad results. Conclusion Arthroplasis and operated reduction is good for elbow joint damage with old dislocation and osteo-ankylosis at extend position no more than 3 months. The treatment of rehabilitation training releases the soft tissue reaction and promotes functional exercise effective.