创伤性肘关节强直的治疗

Treatment of Traumatic Elbow Joint Anklyosis

目的 :研究创伤性肘关节强直的手术治疗和康复方法。方法 :12年中手术治疗创伤性肘关节强直 2 6例 ,其中关节松解术 19例 ,叉状成形术 7例。 19例获得 12～ 6 0个月随访 (平均 12个月 )。结果 :参照张长松等制定的疗效标准 ,松解术优 10例 ,良 4例 ,叉状成形术优 3例 ,良 2例。结论 :松解术适于关节间隙完整或骨性连续未超过 1/ 2的病例 ,叉状成形术适于关节间隙消失超过 1/ 2的病例。中西医结合康复治疗能有效减轻组织反应 ,保证功能锻炼顺利进行。

Objectives:To study operative treatment and recovery methods of traumatic elbow ankylosis.Methods:26 cases with traumatic elbow ankylosis were operated on in recent 12 years.Arthroplastis were performed in 19 case while bifulacation arthroplasty in rest 7 cases.Recovery treatment were combined traditional chinese medicine with western medicine postoperativery.Results:19 cases were followed up 12 to 60 months (average 21 months).In accordance with the Zang Chang song′s performance score,10 cases undergoing arthroplasis were with excellent results,6 cases with good results.3 cases undergoing bifuracation arthrophasty were with excellent rsults,2 caes with good results.Conclusion:Arthroplasis is indicaded full joint interspace or osteo-connection less than 1/2 of joint interspace.Bifuracation arthroplasty is indicad for osteo-connection over 1/2 of joint interspace.the treatment of combined tradition chinese medicine and western medicine releases the soft tissue reaction and promotes functional exercise effectivery.