外固定架联合缝合锚钉治疗肘关节恐怖三联征

Treatment of Terrible Triad of the Elbow with External Fixator and Suture Anchors

目的探讨铰链式外固定架联合缝合锚钉治疗肘关节恐怖三联征的临床疗效。方法回顾性分析自2013年3月至2017年6月我院收治的肘关节恐怖三联征患者27例,男16例,女11例;年龄23～59岁,平均37.8岁。所有患者均采取铰链式外固定架联合缝合锚钉治疗。末次随访时采用Mayo评分标准进行肘关节功能评估。结果所有患者均获随访,随访时间12～33个月,平均18.4个月。根据Mayo肘关节功能评分系统评价,27例患者优18例,良5例,可3例,差1例,优良率85.2%。随访期间3例出现肘关节异位骨化,2例出现肘创伤性关节炎。所有患者均骨性愈合,未出现血管神经、感染、内固定松动等并发症。结论铰链式外固定架联合缝合锚钉治疗肘关节恐怖三联征可达到良好的复位及固定,恢复肘关节稳定性,并发症少,临床疗效确切。

Objective To investigate the clinical efficacy of hinged external fixator combined with suture anchor in the treatment of terrible triad of the elbow.Methods A retrospective analysis of 27 patients(sex:16 males and 11 females;aged 23 to 59 years,mean 37.8)with“terrible triad of the elbow”from March 2013 to June 2017 was performed.All patients underwent hinged external fixation combined with suture anchor.At the last follow-up,the elbow function were assessed according to Mayo elbow function evaluation standard.Results All patients were followed up for 12 to 33 months with a mean of 18.4 months.According to Mayo elbow function evaluation standard,the results were excellent in 18 cases,good in 5 cases,fair in 3 cases,and poor in 1 cases,with an excellent and good rate of 85.2%.During the follow-up 3 case had heterotopic ossification of the elbow and 2 cases had elbow traumatic arthritis.Radiology showed that all fractures healed,no complications such as vascular nerve,infection,internal fixation loosening and so on.Conclusion Hinged external fixator with suture anchors can achieve good reduction and fixation,restore the stability of the elbow joint,less complications in the treatment of terrible triad of the elbow,and the clinical effect is reliable.