漂浮肘手术治疗的临床研究

The clinical study of surgical treatment for floating elbow

目的评价漂浮肘手术治疗后肘关节的功能、并发症及存在的问题。方法我院从1999年～2006年对40例漂浮肘进行了开放复位内固定术,术后随访1～5年(平均3年),按肘关节功能评价标准(JOA)对肘关节功能进行评价,并对随访结果进行回顾性研究。结果在40例病人中,1例失随访,1例死于多器官功能衰竭,34例骨折均愈合,1例骨不连,1例骨折畸形愈合,1例再骨折,1例深部感染。JOA评分:优秀8例;良好15例;一般11例;较差4例。结论为了获得很好的关节功能,减少原发或继发的并发症,早期手术干预是重要的治疗选择。

Objectives To assess elbow function, complications, and problems of floating elbow fractures in patients receiving surgical treatment. Methods Forty patients were treated with open reduction and internal fixation for floating elbow between 1999 and 2006. At mean follow-up of 3 （range 1-5） years, all subjects underwent standardized elbow evaluations （JOA）, and results were compared with an elbow score based on a 100-point scale. The results were retrospective reviewed. Results In all forty patients. There were one losing to follow-up, One died for MSOF, Thirty-four unions of the humerus and the forearms, One nonunions of the humerus, One malunions of the forearm, One refractures of the humerus, One deep infection., the mean elbow function score was 8 cases having excellent results, with 1S cases having good results： 11 cases fair results： and 4 cases poor results. Conclusion To minimize any initial or subsequent complications and achieve the excellent results in such fractures, early surgical management should be the first treatment choice.