摘要
目的：分析漂浮肘合并血管损伤术后肘关节的功能、并发症及影响因素。方法：我院从1999年1月-2008年5月对22例合并血管损伤的漂浮肘患者进行了开放复位内固定术,术后随访1-5年（平均38个月）,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：22例患者全部得到随访,21例骨折愈合,1例骨折畸形愈合;1例再骨折,1例深部感染;JOA评分：优6例,良8例,一般4例,较差4例。结论：准确的术前判断、精确的血管吻合技术、合理的固定是获得良好的关节功能和减少并发症的有效手段。
Objective：To analyse elbow fuction、complication and other factors of floating elbow with vascular injury in patients receiving surgical treatment.Methods： 22 patients were treated with open reduction and internal fixation for floating elbow between 1999 and 2008,at mean follow-up of 38 months（range 1～5 years）,all cases underwent standardized elbow evaluation（JOA）.Results： In all 22 patients,all were follow-up,21 cases of fracture healing,one case of malunion;one case of re-fracture、one case of deep infection;The mean elbow score was 6 cases having excellent results,with 8 cases having good results,4 cases fair results and 4 cases poor results.Conclusion： To acquire excellent results and minimize subsequent complications,accurate estimation,precise vascular anastomisis technic,rational fixation should be the first choice.
出处
《内蒙古医学杂志》
2010年第4期420-422,共3页
Inner Mongolia Medical Journal
关键词
漂浮肘
内固定
关节功能
Floating elbow
Internal fixation
Joint fuction
