创伤后肘关节僵硬的治疗

目的总结单臂铰链外固定支架松解术治疗创伤后肘关节僵硬的早期经验。方法 2007年1月～2010年6月共收治8名创伤后肘关节僵硬患者。应用单臂铰链外固定支架对患者僵硬肘关节进行松解手术治疗。结果所有患者获得6～24个月,平均13个月随访,患者肘关节平均最大屈曲活动度从术前58.9°改善为术后101.7°,平均最大伸直活动度由术前30.8°改善为术后20.6°,总平均活动范围由术前28.1°改善为术后81.1°,Mayo评分从术前42.37分改善为术后76.3分。结论运用单臂铰链外固定支架松解术治疗创伤后肘关节僵硬的疗效显著,可有效改善僵硬肘关节的活动功能。

Objective To report our early expenence of arthrolysis for post-traumatic stiffness of the elbow using hinged extemal fixation.Methods From January 2007 to June 2010,8 patients with posttraumatic stiffness of the elbow underwent arthrolysis using hinged extemal fixation.Results A mean follow-up period of 13 months showed that the mean maximum flexion improved from preoperative 58.9 degrees to postoperative 101.7 degrees,the mean maximum extension from preoperative 30.8 degrees to postoperative 20.6 degrees,and the average total range of motion from preoperative 28.1 degrees to postoperative 81.1 degrees,The mayo elbow performance index increased from preoperative 42.37 points to postoperative 76.3 points.Conclusion Arthrolvsis for posttraumatic stiffness of the elbow using hinged extemal fixation can improve obviously the motion function of the stiff elbow.