肘关节骨折术后影响肘关节功能恢复的影响因素分析

Analysis of influencing factors for the recovery of elbow joint function after elbow joint fracture

目的:探讨影响肘关节骨折术后肘关节功能恢复的因素。方法:回顾性分析100例成人肘关节骨折患者的临床资料和预后。术后6个月,使用Mayo肘关节功能评分评估肘关节功能。结果:Mayo评分优40例,良30例,可20例,差10例。对以下影响因素进行探讨:神经损伤、合并骨折、骨折至手术时间>7d、肢体肿胀、血管损伤、术后肘关节功能并发症,均为影响肘关节术后康复因素(OR<1,P<0.05),术后2周内康复运动有利于肘关节功能恢复(OR=1.522,P<0.05)。多因素分析结果显示开放性骨折和神经损伤均不利于术后肘关节功能恢复(OR=0.723、0.710,P<0.05),术后早期运动促进术后肘关节功能恢复(OR=1.326,P<0.05),骨折类型、损伤程度影响术后肘关节功能恢复(OR=1.459、0.754,P<0.05)。结论:成人肘关节骨折的肘关节功能恢复主要受与骨折损伤程度相关因素的影响,在骨折和周围软组织损伤之后,应综合评估治疗方案,早期康复运动有利于肘关节功能的恢复。

Objective: To investigate the factors affecting the recovery of elbow joint function after elbow joint fracture. Methods: The clinical data and prognosis of 100 adult patients with elbow fractures were retrospectively analyzed. At 6 months postoperatively, the elbow joint function was assessed using the Mayo elbow function score. Results: The Mayo score was excellent in 40 cases, good in 30 cases, fair in 20 cases, and poor in 10 cases. The following influencing factors were discussed .Nerve injury, combined fracture, fracture to operation time > 7 days, limb swelling, vascular injury, postoperative elbow joint function complications affected the recovery of elbow joint surgery (OR <1, P <0.05), rehabilitation exercise within 2 weeks after surgery was beneficial to the recovery of elbow joint function (OR = 1.522, P <0.05). Multivariate analysis showed that open fractures and nerve injury were not conducive to postoperative recovery of elbow joint function (OR = 0.723, 0.710, P < 0.05). Early rehabilitation exercise promoted recovery of elbow joint function after operation (OR = 1.326, P < 0.05). The type of fracture and degree of injury affected the recovery of postoperative elbow function (OR = 1.459, 0.754, P < 0.05). Conclusions: The elbow joint function of adult elbow joint fracture is mainly affected by the factors related to the degree of fracture injury.The treatment plan should be comprehensively evaluated after the fracture and injury of surrounding soft tissue. Early rehabilitation exercise is beneficial to the recovery of elbow joint function.