摘要
目的探讨肘关节"恐怖三联征"的治疗方法和疗效。方法 10例患者手术治疗9例,其中1例行人工桡骨头置换,并修复肘关节前关节囊及肘内、外侧副韧带;8例内固定,术后予长臂石膏或铰链式支架外固定制动2～3周,早期开始屈伸康复训练。闭合复位保守治疗1例。结果 10例患者均获随访,随访时间3～40月,平均22.5个月。手术组切口均一期愈合。术后8～12周骨折达临床愈合,平均9.2周。肘关节平均屈伸范围为110°±28°,前臂平均旋转活动范围为109°±25°,1例有创伤性关节炎。按照肘关节HHS评分标准评定标准进行评价:优5例、良2例、可1例、差2例(含保守治疗1例),总优良率为70%。结论对于肘关节"恐怖三联征",应积极手术治疗,重建或恢复骨的结构,坚强内固定,修复关节周围支持结构,早期功能锻炼,能有效恢复关节功能,减少骨折并发症。
Objective To discuss the surgical treatment of the terrible triad of the elbow.Methods 10 patients surgery in 9 cases,including one of the radial head replacement,and artificial restoration before the elbow joint capsule and elbow inside,outside the ligamentous,8cases,surgery to long arm gesso or hinged external stent in 2～3 weeks of fixed braking,early flexion rehabilitation training.Closed reduction conservative treatment.Results All of 10 patients,follow-up of 3～40,average 22.5 months.Surgical incision were healed 8～12 weeks of clinical fractures healed,average 9.2weeks.Elbow flexion average range of 110°±28°,the average range of activities for the forearm rotation 109°±25°,1 traumatic arthritis.According to the elbow HHS criteria for evaluation,evaluation criteria： Excellent in 5 cases,good in 2 cases,May 1,difference in 2 cases（Conservative treatment for）,the total is conservative treatment for 70%.Conclusion The terrible triad of the elbow,once diagnosis,surgical treatment should be actively,rebuilding or restore bone structure,strong fixation,joint support structure reconstruction,keep the joint stability.Early functional exercise,can effectively restoration joint function,reduce fracture complications.
出处
《生物骨科材料与临床研究》
CAS
2011年第2期39-41,共3页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
肘关节脱位
尺骨冠突骨折
桡骨头骨折
治疗
Elbow joint Dislocations
Ulna fractures
Radius fractures
Treatment
