肢体关节功能计算方法的比较

Comparison between Different Calculation Methods of Limbs Joints Function

目的分析比较两种不同的关节功能计算方法,探讨关节功能评定方法的合理性。方法收集福建闽中司法鉴定所2007—2010年道路交通事故致四肢大关节损伤伴有或不伴有周围神经损伤案件806例,分别应用关节运动活动度和《法医临床司法鉴定实务》中的方法(查表法)计算关节功能丧失程度,并根据损伤关节和损伤性质对两种不同方法的评残结果列表比较分析。结果单纯性骨关节损伤642例,两种方法评残结果完全一致。骨关节损伤伴有周围神经损伤118例,若按直接查表法评定均达到伤残程度,且有33例(28.00%)伤残等级比用关节活动度法评残有不同程度的提高,而且按关节运动活动度法有21例(17.80%)未达到伤残程度。结论应用直接查表法计算关节功能丧失程度比单纯应用关节运动活动度替代关节功能作评残依据更简便、更科学、更合理。

Objective To analyze and compare different methods for assessment of the limbs joints function and to discuss the rationality of the methods. Methods Eight hundred and six cases were collected from the Fujian Minzhong Forensic Appraisal Center from 2007 to 2010. These cases included injuries of large limbs joints with or without peripheral nerve injury. The loss of joint function was calculated according to the simple joint mobility method or the table method introduced in the book ＂Forensic Clinical Judicial Authentication Practice＂. The results of disability evaluation with different methods were analyzed and compared between different joints and injury patterns. Results In 642 cases of simple joint injuries with out peripheral nerve injury, the results of disability evaluation based on simple joint mobility were the same as that based on the table. In 118 cases of joint injuries with peripheral nerve injury, all of them could be classified as disability, 33 cases （28.00%） had higher degree based on the table method than based on the simple joint mobility method. While 21 cases （17.80%） did not be evaluated as disabled based on the simple joint mobility method. Conclusion The evaluation for loss of limb function would be easier, more scientific and reasonable by the direct table method than the simple joint mobility method.