摘要
背景:目前临床上对于肱骨远端骨折最主要的治疗方式是钢板内固定,但是对于老年肱骨远端关节面粉碎严重患者的治疗方案仍存争议。目的:探讨半限制性人工全肘关节置换治疗老年肱骨远端复杂骨折的近期疗效。方法:回顾性分析自2016年3月至2017年6月佛山市中医院骨伤科采用半限制性全肘关节置换治疗肱骨远端复杂骨折9例老年患者的病例资料,患者年龄65-78岁,平均69岁。观察患者术后1年随访时肘关节Mayo功能活动评分及术后并发症发生情况。结果与结论:(1)9例患者均获随访,随访时间12-27个月;(2)末次随访时,患者肘关节屈曲平均117.8°,伸直平均10.4°,旋前平均78.4°,旋后平均68.2°;(3)术后1年按肘关节Mayo功能活动评分评定,优2例,良5例,可2例,优良率为78%;(4)1例患者并发尺神经症状,1例患者伸肘无力,随访期间未见其他并发症;(5)结果表明,半限制性全肘关节置换治疗老年肱骨远端复杂骨折近期疗效满意。
BACKGROUND: The most important treatment for distal humeral fracture is plate internal fixation. But the treatment of elderly patients with severe comminution of distal humeral articular surface is still controversial. OBJECTIVE: To investigate the short-term effect of semi-restrictive total elbow arthroplasty for complex distal humeral fractures in elderly patients. METHODS: Nine patients (65-78 years old, 69 years in average) with complex distal humerus fractures treated by semi-restrictive total elbow arthroplasty admitted at Department of Orthopedics, Foshan Hospital of Traditional Chinese Medicine from March 2016 to June 2017 were analyzed retrospectively. Mayo Elbow Performance Score and postoperative complications were recorded at 1-year follow-up.RESULTS AND CONCLUSION:(1) All patients were followed up for 12-27 months.(2) At the last follow-up, the average elbow flexion was 117.8°, the average elbow extension was 10.4°, the average pronation was 78.4°, and the average supination was 68.2°.(3) According the Mayo Elbow Performance Score at 1 year postoperatively, two cases were excellent, five cases were good, and two cases were fair. The excellent and good rate was 78%.(4) One patient had symptoms of ulnar nerve. One had elbow extension fatigue. All of the patients had no other complications during follow-up.(5) To conclude, the semi-restrictive total elbow arthroplasty exhibits satisfactory short-term treatment outcomes for complex distal humeral fractures in the older adults.
作者
陈小康
吴征杰
周冰雪
周健生
洪石
Chen Xiaokang;Wu Zhengjie;Zhou Bingxue;Zhou Jiansheng;Hong Shi(Foshan Hospital of TraditionalChinese Medicine, Guangzhou University of Chinese Medicine, Foshan 528000, Guangdong Province, China;Seventh Department of Orthopedics, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000,Guangdong Province, China)
出处
《中国组织工程研究》
CAS
北大核心
2019年第8期1167-1171,共5页
Chinese Journal of Tissue Engineering Research
