弹力绷带加颈腕固定带悬吊治疗肘关节脱位80例

Elastic Bandage with Fixed Neck and Wrist Suspensory in the Treatment of Dislocation of Elbow Joint for 80 Cases

目的观察急性肘关节后脱位手法复位后外敷虎力散弹力绷带加颈腕固定带悬吊短期固定3 d的治疗效果。方法 2组经手法复位的急性肘关节后脱位各40例分别用弹力绷带加颈腕固定带悬吊短期固定3 d和上肢长石膏托固定3周,于复位后3周、6周、9周评价其肘关节功能以判断不同固定方式不同固定时间的治疗效果。结果经手法复位后不同固定时间的急性肘关节后脱位均可获得优秀的治疗效果,其差异不大,短期弹力绷带加颈腕固定带悬吊组患者肘关节功能恢复较3周石膏托功固定组功能恢复时间更短。结论及时就诊并且复位成功的肘关节脱位患者应常规检查肘关节的稳定程度,可以作为缩短固定时间的尝试。

Objective To observe the curative effect of elastic bandage and suspension for 3 days after dislocation of elbow joint manipulative reduction.Methods 80 cases of dislocation of elbow joint after manipulative reduction were randomly divided into two groups respectively with elastic bandage and suspension for 3 days and fixed plaster fixation for 3 weeks.The effect after 3 weeks,6 weeks and 9 weeks was evaluated.Results The different fixed time all can get good curative effect.Elastic bandage and suspension of short-term fixed recovery time was shorter than 3 weeks fixed plaster restoration function.Conclusion A patient with a timely treatment and a successful dislocation of the elbow joint should be routinely examined for the stability of the elbow joint as an attempt to shorten the fixed time.