摘要
目的观察铰链式外固定支架联合内固定治疗恐怖三联征患者的临床疗效。方法选取2013年1月至2019年2月期间惠州第六人民医院收治的40例肘关节恐怖三联征患者,根据随机数表法将其分为对照组和观察组,每组20例,对照组采用石膏外固定联合内固定治疗,观察组采用铰链式外固定支架联合内固定治疗。术后随访3个月,回院复查时,比较两组患者的肘关节伸屈角度、屈伸范围、前臂旋转范围,经X线片检查确定骨折愈合时间;利用Mayo功能评分比较两组患者的优良率;比较两组患者术后并发症发生率;调查并比较两组患者对内外固定、康复训练、工作态度、技术操作等方面的满意度。结果观察组与对照组患者的术后肘关节屈伸范围[(106.3±9.9)°vs(94.6±8.6)°]及前臂旋转范围[(128.4±9.5)°vs(114.3±9.1)°]比较,观察组明显增大,差异均有统计学意义(P<0.05);观察组患者的骨折愈合时间为(66.1±8.2)d,明显短于对照组的(75.4±9.3)d,差异有统计学意义(P<0.05);观察组患者的治疗优良率为95.0%,明显高于对照组的70.0%,差异有统计学意义(P<0.05);观察组患者术后并发症发生率为5.0%,明显低于对照组的30.0%,差异有统计学意义(P<0.05);观察组患者在内外固定、康复训练、工作态度、技术操作等方面的满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论铰链式外固定支架联合内固定治疗能够明显提高恐怖三联征患者肘关节的稳定性,有利于患者肘关节功能的早期恢复,值得临床推广。
Objective To observe the clinical effect of treatment of hinge external fixator combined with internal fixation on the healing and elbow joint function of patients with terrible triad injury of elbow joint.Methods A total of 40 patients with terror triad of elbow joint,who admitted to Huizhou Sixth People's Hospital from January 2013 to February 2019,were selected and divided into the control group and observation group according to random number table method,with 20 patients in each group.The control group was treated with plaster external fixation combined with internal fixation,and the observation group was treated with hinged external fixation combined with internal fixation.After 3 months of follow-up,the elbow extension angle,flexion and extension range,forearm rotation range of the two groups were compared,and the fracture healing time was determined by X-ray examination;the excellent and good rates of the two groups were compared by Mayo function score;the incidence of postoperative complications was compared between the two groups;the satisfaction of the aspects such as internal and external fixation,rehabilitation training,work attitude and technical operation of the two groups were investigated and compared.Results The range of elbow flexion and extension and forearm rotation range in the observation group were(106.3±9.9)degrees and(128.4±9.5)degrees,which were significantly larger than corresponding(94.6±8.6)degrees and(114.3±9.1)degrees in the control group(P<0.05);the fracture healing time in the observation group was(66.1±8.2)d,which was significantly higher than(75.4±9.3)d in the control group(P<0.05);the excellent and good rate of the observation group was 95.0%,which was significantly higher than 70.0%of the control group(P<0.05);the incidence of postoperative complications in the observation group was 5.0%versus 30.0%of the control group(P<0.05);the satisfaction of internal and external fixation,rehabilitation training,work attitude,technical operation of the observation group were signif
作者
李文
杜贵忠
李建军
LI Wen;DU Gui-zhong;LI Jian-jun(Department of Orthopaedics,Huizhou Sixth People's Hospital,Huizhou 516211,Guangdong,CHINA)
出处
《海南医学》
CAS
2020年第18期2354-2357,共4页
Hainan Medical Journal
基金
广东省惠州市科技计划项目(编号:2018Y270)。
关键词
恐怖三联征
铰链式外固定支架
内固定
关节功能
Terrible triad injury
Hinged external fixator
Internal fixation
Joint function
