创伤后肘关节粘连的处理

Management of posttraumatic elbow adhesion

目的通过对创伤后肘关节功能障碍的手术治疗，探讨创伤后肘关节活动受限的手术方法。方法对21例创伤后肘关节功能障碍的患者，采用肘关节外侧人路和后方入路行关节清理术和关节囊松解术。术后功能锻炼维持肘关节活动度。结果术后所有患者肘关节活动度由术前的平均53°提高至95°，活动功能明显改善。结论术前全面评估、恰当的手术技术和术后的主动活动训练是肘关节粘连松解成功的关键。

Objective To discuss pre-operative condition assessment and evaluate surgical procedures for treatment of post-traumatic functional disability of elbow joints. Methods Twenty-one patients with posttraumafic elbow dysfunction were treated by intra-articular debridement and concurrent capsular release via a combine lateral and posterior approach. Postoperative functional exercise continued for several months to maintain range of motion of the elbow joint. Results Mean arc of motion in all elbows increased from 53° to 95° after the operation. There was significant improvemem in joint movement. Conclusion Careful preoperative evaluation, appropriate operative techniques and supervised postoperative rehabilitation am key to a successful treatment of posttraumatic elbow joints with functional disability.