| 关节镜下手术治疗肘关节僵硬 |
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Received:July 17, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 唐浩琛 |
TANG Hao-chen |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Extremity Trauma, Orthopaedics Hospital of Sichuan, Chengdu 610041, Sichuan, China |
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| 向明 |
XIANG Ming |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Extremity Trauma, Orthopaedics Hospital of Sichuan, Chengdu 610041, Sichuan, China |
josceph_xm@sina.com |
| 陈杭 |
CHEN Hang |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Extremity Trauma, Orthopaedics Hospital of Sichuan, Chengdu 610041, Sichuan, China |
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| 胡晓川 |
HU Xiao-chuan |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Extremity Trauma, Orthopaedics Hospital of Sichuan, Chengdu 610041, Sichuan, China |
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| 杨国勇 |
YANG Guo-yong |
四川省骨科医院上肢科, 四川 成都 610041 |
Department of Upper Extremity Trauma, Orthopaedics Hospital of Sichuan, Chengdu 610041, Sichuan, China |
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| 期刊信息：《中国骨伤》2014年27卷，第11期，第943-947页 |
| DOI：10.3969/j.issn.1003-0034.2014.11.014 |
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目的: 探讨关节镜下手术治疗肘关节僵硬的临床疗效.
方法: 2010年11月至2012年12月,对纳入的27例肘关节僵硬患者,行肘关节镜下关节腔清理关节囊松解术治疗.其中男18例,女9例;年龄24～54岁,平均35.7岁.术后配合镇痛及理疗康复锻炼,使用Mayo评分系统进行疗效评价.
结果: 27例术后均获随访,时间12～18个月,平均13.5个月.肘关节平均最大屈曲活动度由术前(61.5±30.1)°改善为术后(102.5±20.1)°,平均最大伸直活动度由术前(34.8±12.1)°,改善为术后(16.3±16.1)°,总平均活动范围由术前(34.2±21.0)°改善为术后(84.9±9.2)°.根据Mayo评分系统进行疗效评价,术前平均(60.5±13.4)分,术后平均(88.7±6.3)分,术后评分提高;其中优10例,良13例,一般4例,差0例.
结论: 关节镜下肘关节松解手术具有创伤小、出血少、恢复快及视野清晰等优点,可有效改善肘关节活动度,是治疗肘关节僵硬的有效手术方式. |
| [关键词]:肘关节 关节镜 关节僵硬 |
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| Arthroscopic surgery for the treatment of stiff elbow |
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Abstract:
Objective: To investigate the clinical results of arthroscopic surgery for the treatment of stiff elbow.
Methods: From October 2010 to December 2012,27 patients with stiff elbow were treated with arthroscopic debridement and joint capsular releasing. There were 18 males and 9 females,ranging in age from 24 to 54 years old,with an average of 35.7 years old. Analgesia and rehabilitation were necessary after operation. Mayo criteria system was used to evaluate therapeutic effects.
Results: All the patients were followed up,and the duration ranged from 12 to 18 months,with a mean of 13.5 months. The mean maximum flexion angle of patients improved from preoperative (61.5±30.1)° to postoperative (102.5±20.1)°;and the mean maximum extension angle improved from preoperative(34.8±12.1)° to postoperative(16.3±16.1)°;the average total range of motion improved from preoperative (34.2±21.0)° to postoperative(84.9±9.2)°. According to the Mayo criteria system,the average score increased from preoperative 60.5±13.4 to postoperative 88.7±6.3;ten patients got an excellent result,13 good and 4 fair.
Conclusion: Arthroscopic surgery to treat elbow stiffness has such advantages as minimal invasion,less blood loss,fast recovery,and clear visualization,which is effective to improve elbow joint functions with less complications. |
| KEYWORDS:Elbow joint Arthroscopy Joint stiffness |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 唐浩琛,向明,陈杭,胡晓川,杨国勇.关节镜下手术治疗肘关节僵硬[J].中国骨伤,2014,27(11):943~947 |
| 英文格式: | TANG Hao-chen,XIANG Ming,CHEN Hang,HU Xiao-chuan,YANG Guo-yong.Arthroscopic surgery for the treatment of stiff elbow[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(11):943~947 |
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