84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]呂士金,岳海振,趙以成,等.肱骨外上髁截骨入路肘關(guān)節(jié)筋膜間置成形術(shù)聯(lián)合鉸鏈外固定架外固定治療創(chuàng)傷后肘關(guān)節(jié)僵硬[J].中醫(yī)正骨,2018,30(04):69-72.
點(diǎn)擊復(fù)制

肱骨外上髁截骨入路肘關(guān)節(jié)筋膜間置成形術(shù)聯(lián)合鉸鏈外固定架外固定治療創(chuàng)傷后肘關(guān)節(jié)僵硬()
分享到:

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年04期
頁(yè)碼:
69-72
欄目:
臨床報(bào)道
出版日期:
2018-04-20

文章信息/Info

作者:
呂士金1岳海振2趙以成1張立春1
1.山東省聊城市東昌府區(qū)中醫(yī)院,山東 聊城 252027; 2.山東省聊城市中醫(yī)醫(yī)院,山東 聊城 252004
關(guān)鍵詞:
肘關(guān)節(jié) 關(guān)節(jié)僵硬 截骨術(shù) 關(guān)節(jié)成形術(shù) 筋膜間置成形 闊筋膜 外固定器
摘要:
目的:觀察肱骨外上髁截骨入路肘關(guān)節(jié)筋膜間置成形術(shù)聯(lián)合鉸鏈外固定架外固定治療創(chuàng)傷后肘關(guān)節(jié)僵硬的臨床療效和安全性。方法:2013年4月至2017年5月,采用肱骨外上髁截骨入路肘關(guān)節(jié)筋膜間置成形術(shù)聯(lián)合鉸鏈外固定架外固定治療創(chuàng)傷后肘關(guān)節(jié)僵硬患者13例,男8例、女5例。年齡21~39歲,中位數(shù)35歲。左側(cè)7例,右側(cè)6例。主力側(cè)6例,非主力側(cè)7例。原受傷類型,肱骨髁間骨折9例、經(jīng)鷹嘴骨折脫位合并肱骨近端骨折1例、肘部損傷“三聯(lián)征”3例。原治療方式,非手術(shù)治療4例、復(fù)位內(nèi)固定術(shù)9例。按Morrey肘部僵硬標(biāo)準(zhǔn),極重度僵硬8例、重度僵硬5例。術(shù)前肘關(guān)節(jié)異位骨化按Hastings-Graham分型,ⅡA型2例、ⅡB型1例、ⅡC型7例、Ⅲ型3例。受傷至手術(shù)時(shí)間6~33個(gè)月,中位數(shù)15個(gè)月。術(shù)后隨訪觀察肘關(guān)節(jié)活動(dòng)度、肘關(guān)節(jié)功能改善情況及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間3~36個(gè)月,中位數(shù)12個(gè)月。末次隨訪時(shí),肘關(guān)節(jié)屈伸活動(dòng)度由術(shù)前10.07°±2.33°增加至104.77°±13.37°,肘關(guān)節(jié)旋前活動(dòng)度由術(shù)前45.27°±4.78°增加至74.36°±3.78°,肘關(guān)節(jié)旋后活動(dòng)度由術(shù)前40.65°±4.57°增加至65.79°±2.60°,Mayo肘關(guān)節(jié)功能評(píng)分由術(shù)前(60.23±5.02)分增加至(87.23±4.00)分; 參照Mayo肘關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)評(píng)價(jià)療效,優(yōu)3例、良7例、可2例、差1例。Ⅰ型異位骨化1例,ⅡA型異位骨化1例。均無(wú)切口感染、釘?shù)栏腥尽⒐俏铡⒊呱窠?jīng)功能障礙及肘關(guān)節(jié)不穩(wěn)定、僵硬等并發(fā)癥發(fā)生。結(jié)論:采用肱骨外上髁截骨入路肘關(guān)節(jié)筋膜間置成形術(shù)聯(lián)合鉸鏈外固定架外固定治療創(chuàng)傷后肘關(guān)節(jié)僵硬,可以改善肘關(guān)節(jié)活動(dòng)度,促進(jìn)肘關(guān)節(jié)功能恢復(fù),并發(fā)癥少,值得臨床推廣應(yīng)用。

參考文獻(xiàn)/References:

[1] 甄相周,陳宏峰,王亮.肘關(guān)節(jié)松解術(shù)結(jié)合鉸鏈?zhǔn)酵夤潭芄潭ㄖ委焺?chuàng)傷后肘關(guān)節(jié)僵硬23例療效分析[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2014,29(5):500-501.
[2] RING D,HOTCHKISS RN,GUSS D,et al.Hinged elbow external fixation for severe elbow contracture[J].Journal of Bone and Joint Surgery-American Volume,2005,87(6):1293-1296.
[3] MORREY BF.Surgical treatment of extraarticular elbow contracture[J].Clin Orthop Relat Res,2000,370(370):57-64.
[4] HASTINGS H,GRAHAM TJ.The classification and treatment of heterotopic ossification about the elbow and forearm[J].Hand Clin,1994,10(3):417-437.
[5] MORREY BF,BRYAN RS,DOBYNS JH,et al.Total elbow arthroplasty.A five year experience at the Mayo Clinic[J].J Bone Joint surg Am,1981,63:1050-1063.
[6] MORREY BF,ASKEW LJ,CHAO EY.A biomechanical study of normal functional elbow motion[J].J Bone Joint Surg Am,1981,63(6):872-877.
[7] EHSAN A,HUANG JI,LYONS M,et al.Surgical management of posttraumatic elbow arthrofibrosis[J].J Trauma Acute Care Surg,2012,72(5):1399-1403.
[8] MANSAT P,BONNEVIALLE N,WERNER B.Indications and technique of combined medial and lateral column procedures in severe extrinsic elbow contractures[J].Orthopade,2011,40(4):307-315.
[9] WANG W,LIU S,JIANG SC,et al.Limited medial and lateral approaches to treat stiff elbows[J].Orthopedics,2015,38(6):477-484.
[10] 何大煒,蔣協(xié)遠(yuǎn),公茂琪,等.開(kāi)放松解術(shù)結(jié)合鉸鏈?zhǔn)酵夤潭ㄖЪ苤委煒O重度創(chuàng)傷后肘關(guān)節(jié)僵硬[J].中華創(chuàng)傷骨科雜志,2015,17(10):832-837.
[11] BHABRA G,MODI CS,LAWRENCE T.Managing the stiff elbow[J].Orthop Trauma,2016,30(4):329-335.
[12] PETTERSEN PM,ERIKSSON J,BRATBERG H,et al.Increased ROM and high patient satisfaction after open arthrolysis:a follow-up-study of 43 patients with posttraumatic stiff elbows[J].BMC Musculoskeletal Disorders,2016,17(1):1-6.
[13] FAN CY.Stiff elbows:our experience[J].Chirurgie De La Main,2015,34(6):397.
[14] O'DRISCOLL SW.Elbow instability[J].Acta Orthopaedica Belgica,1994,65(4):404-415.
[15] 吳加?xùn)|,呂成堂,周敦,等.鉸鏈?zhǔn)酵夤潭茉跇锕穷^骨折伴肘關(guān)節(jié)不穩(wěn)定治療中的應(yīng)用[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2015,30(1):98-99.
[16] ZHOU Y,CAI JY,CHEN S,et al.Application of distal radius-positioned hinged external fixator in complete open release for severe elbow stiffness[J].Journal of Shoulder and Elbow Surgery,2017,26(2):44-51.

相似文獻(xiàn)/References:

[1]陳紅衛(wèi),王子陽(yáng),李軍,等.肘關(guān)節(jié)后外側(cè)入路聯(lián)合前內(nèi)側(cè)入路治療 肘關(guān)節(jié)恐怖三聯(lián)征[J].中醫(yī)正骨,2015,27(09):40.
[2]翟利鋒,陳億民,許樺,等.經(jīng)指伸肌劈開(kāi)入路治療MasonⅡ型橈骨頭骨折[J].中醫(yī)正骨,2015,27(06):59.
[3]鄧明月,徐虹霞,胡曉川,等.關(guān)節(jié)鏡下松解術(shù)治療肘關(guān)節(jié)僵硬的護(hù)理方法[J].中醫(yī)正骨,2015,27(06):73.
[4]丁方平,王人彥,楊寅.“4點(diǎn)法”小針刀松解術(shù)治療肘關(guān)節(jié)僵硬[J].中醫(yī)正骨,2015,27(05):29.
[5]孫燕,何東,孫煒,等.外側(cè)楔形截骨矯正兒童肘內(nèi)翻畸形手術(shù)中內(nèi)固定方式的選擇[J].中醫(yī)正骨,2016,28(01):43.
[6]蔣擁軍,李克軍,陳佳旭,等.榮肌揉筋手法治療成人肱骨髁間骨折術(shù)后肘關(guān)節(jié)僵硬[J].中醫(yī)正骨,2016,28(06):21.
 JIANG Yongjun,LI Kejun,CHEN Jiaxu,et al.Rongji Roujin(榮肌揉筋)manipulation for treatment of postoperative elbow joint stiffness in adults with humeral intercondylar fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):21.
[7]何影浩,郭躍明,李偉強(qiáng).一期切開(kāi)復(fù)位內(nèi)固定聯(lián)合肱骨外側(cè)楔形截骨治療兒童肘內(nèi)翻畸形合并肱骨外髁骨折[J].中醫(yī)正骨,2016,28(11):62.
[8]馮瑞萍,王巧,劉桂凌,等.關(guān)節(jié)鏡下肘關(guān)節(jié)松解術(shù)治療創(chuàng)傷性肘關(guān)節(jié)僵硬的護(hù)理[J].中醫(yī)正骨,2017,29(01):76.
[9]陳羅西,劉波,張曉芳,等.傳統(tǒng)關(guān)節(jié)黏連松解術(shù)聯(lián)合中藥內(nèi)服外敷治療骨化性肌炎并發(fā)關(guān)節(jié)僵硬[J].中醫(yī)正骨,2017,29(04):76.
[10]李克軍,蔣擁軍,袁海花.功能性磁刺激在創(chuàng)傷后肘關(guān)節(jié)僵硬康復(fù)治療中的應(yīng)用[J].中醫(yī)正骨,2017,29(05):7.
 LI Kejun,JIANG Yongjun,YUAN Haihua.Application of functional magnetic stimulation in the treatment of post-traumatic elbow joint stiffness[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(04):7.

更新日期/Last Update: 2018-08-24