| 带关节外固定支架结合有限内固定治疗复杂肘关节骨折脱位 |
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投稿时间：2009-08-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 王俭 |
WANG Jian |
海盐县人民医院骨科,浙江 海盐 314300 |
Department of Orthopaedics,the People's Hospital of Haiyan County,Haiyan 314300,Zhejiang,China |
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| 王文跃 |
WANG Wen-yue |
海盐县人民医院骨科,浙江 海盐 314300 |
Department of Orthopaedics,the People's Hospital of Haiyan County,Haiyan 314300,Zhejiang,China |
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| 冯健 |
FENG Jian |
海盐县人民医院骨科,浙江 海盐 314300 |
Department of Orthopaedics,the People's Hospital of Haiyan County,Haiyan 314300,Zhejiang,China |
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| 朱海涛 |
ZHU Hai-tao |
海盐县人民医院骨科,浙江 海盐 314300 |
Department of Orthopaedics,the People's Hospital of Haiyan County,Haiyan 314300,Zhejiang,China |
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| 胡江 |
HU Jiang |
海盐县人民医院骨科,浙江 海盐 314300 |
Department of Orthopaedics,the People's Hospital of Haiyan County,Haiyan 314300,Zhejiang,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第1期，第49-51页 |
| DOI：10.3969/j.issn.1003-0034.2010.01.015 |
| 基金项目: |
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中文摘要:
目的：探讨带关节外固定支架结合有限内固定治疗复杂肘关节骨折脱位的方法与疗效。
方法：自2005年3月至2008年3月，采用带关节外固定支架结合有限内固定治疗复杂肘关节骨折脱位17例，男11例，女6例；左侧9例，右侧8例；年龄21～57岁，平均37岁。采用Mayo评分标准，从疼痛、关节活动度、关节稳定性等方面进行肘关节功能评定。
结果：17例患者均获随访，时间5～10个月，平均8个月。Mayo评分62～96分，平均(82±10)分，优7例，良7例，一般3例。
结论：带关节外固定支架结合有限内固定治疗复杂肘关节骨折脱位，能较好地恢复肘关节的解剖关系，且固定坚强、牢固，有利于肘关节早期功能锻炼，减少关节僵硬及软组织挛缩的发生，是治疗复杂肘关节骨折脱位较好的办法。 |
| 【关键词】肘关节 骨折 脱位 外固定器 |
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| Treatment of complex fracture-dislocation of elbow with external fixator with joint and limited internal fixation |
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ABSTRACT
Objective: To discuss the method and the effect of external fixator and limited internal fixation with joint applied for complex fracture-dislocation of elbow.
Methods: From Mar. 2005 to Mar. 2008,17 patients with complex fracture-dislocation of elbow were treated with external fixator with joint and limited internal fixation. Nine of them were on the left side and 8 on the right side. There were 11 males and 6 females. The age was from 21 to 57 years with an average of 37 years. The clinical effects were evaluated according to Mayo scoring of elbow joint function (including pain,rang of motion,joint stability and so on).
Results: All patients were followed up from 5 to 10 months with an average of 8 months. The mean mayo score was 82±10(62-96). The results were excellent in 7 cases,good in 7,fair in 3.
Conclusion: The technique of external fixator with joint and limited internal fixation for complex fracture-dislocation of elbow can restore anatomical articular surface with advantage of early functional training which can decrease the occurrence of elbow stiff and soft tissue contracture. It is a satisfactory method in treating complex fracture-dislocation of elbow. |
| KEY WORDS Elbow joint Fractures Dislocations External fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王俭,王文跃,冯健,朱海涛,胡江.带关节外固定支架结合有限内固定治疗复杂肘关节骨折脱位[J].中国骨伤,2010,23(1):49~51 |
| 英文格式: | WANG Jian,WANG Wen-yue,FENG Jian,ZHU Hai-tao,HU Jiang.Treatment of complex fracture-dislocation of elbow with external fixator with joint and limited internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(1):49~51 |
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