摘要
目的评估关节镜下微骨折术治疗肘关节剥脱性骨软骨炎的临床疗效。方法选择自2012年1月至2014年12月,以微骨折术治疗肘关节剥脱性骨软骨炎患者16例,平均年龄13.3岁(12~19岁)。关节镜下测量关节软骨剥脱面积,证实最大直径小于1 cm后行清创及微骨折处理,术后随访疼痛、关节功能及活动度恢复情况,并与术前进行比较。结果所有患者无并发症出现。术前患者肘关节伸屈范围(101.88±14.82)°,Mayo功能评分为(64.38±4.79)分,疼痛视觉模拟评分为(5.13±1.09)分;术后随访肘关节伸屈范围(114.38±11.53)°,Mayo功能评分为(88.75±8.06)分,疼痛评分为(0.88±1.02)分。三者术前与术后比较,差异均有统计学意义(P<0.05)。16例患者中6例专业运动员均恢复原有运动水平。根据Mayo功能评定,16例患者中优13例,良3例,中或差0例。结论对于关节面软骨剥脱直径小于1 cm的肘关节剥脱性骨软骨炎患者,关节镜下微骨折术可明显改善肘关节功能,疗效较为满意。
Objective To evaluate the clinical results of arthroscopic micro-fracture for osteochondritis dissecans （ OCD） of the elbow. Methods From January 2012 to December 2014, 16 OCD patients were trea-ted by arthroscopic micro-fracture. The age was 13. 3 years old on average （12-19 years old）. Arthroscopic micro-fracture was performed if the diameter of the lesion less than 1 cm by measurement. The range of motion, MEPS （Mayo elbow performance score） ,VAS for pain evaluation were recorded at the final follow up and were compared with those preoperational superlatively by t test. Results All patients healed without any complica- tions. Preoperatively,the range of flexion extension,MEPS and VAS were （ 101.88 ± 14. 8 2 ）°,64. 38 ±4. 79 and 5.13 ± 1. 09 respectively on average. The range of flexion extension, MEPS and VAS were improved to （114. 38 ± 11.53） ° , 88.75 ±8. 06 and 0. 88 ± 1. 0 2 , respectively. There were significant difference between preoperative and postoperative on ROM, VAS and MEPS （P 〉0.05）. All athletes returned to previous sports level. According to MEPS, there were 13 excellent, 3 good, and none fair or poor in our cases. Conclusion The arthroscopic micro-fracture is an effective way to treat elbow OCD and gain satisfied function and healing when the diameter of the lesion less than 1 cm.
出处
《骨科临床与研究杂志》
2017年第1期24-29,共6页
Journal Of Clinical Orthopedics And Research
基金
北京市卫生系统高层次卫生技术人才培养计划(2013-3-031)
2017国家自然科学基金委员会面上项目(81672137)~~
