摘要
目的探讨先天性多发手部关节挛缩的分类方式及支具治疗的临床效果。方法自2015年1月至2021年1月,共诊治80例先天性多发手部关节挛缩患者,将患者按不同病理解剖特点分为6类,并且按照不同的分类情况进行相应的支具治疗。平均2个月随访一次,评估治疗后患指的主、被动屈伸关节活动度。结果对患者进行跟踪随访,时间12~24个月。患指治疗效果评价总体优良率达86.3%。结论根据所分类的方法对不同类型的患者采取支具辅助治疗,能够使先天性多发手部关节挛缩患者获得良好的治疗效果,减少并发症的出现。
Objective To investigate the classification of congenital multiple arthrocontracture of hand and the clinical effects of brace interventional treatment.Methods From January 2015 to January 2021,a total of 80 patients with congenital multiple arthrocontracture were enrolled.The patients were divided into 6 categories according to different pathological and anatomical characteristics,and were treated with corresponding braces according to different classification.The range of motion of the active and passive flexion and extension joints of the affected finger was assessed,and the mean follow-up was conducted once every 2 months.Results The patients were followed up for 12 to 24 months.The overall excellent and good rate was 86.3%.Conclusion According to the methods classified in this paper,brace interventional therapy for patients with different types of congenital multiple hand arthrocontracture can achieve better therapeutic effects and reduce the occurrence of complications.
作者
俞沁圆
王思圆
仲荣洲
李喆
黄国懂
魏雅洁
王斌
YU Qinyuan;WANG Siyuan;ZHONG Rongzhou;LI Zhe;HUANG Guodong;WEI Yajie;WANG Bin(Tongji University Affiliated Yangzhi Rehabilitation Hospital,Shanghai 201619,China;Shanghai Health Medical College,Shanghai 201318,China;Shanghai Nuotong Medical Equipment Co.,Ltd,Shanghai 201619,China;Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)
出处
《组织工程与重建外科》
CAS
2022年第2期144-147,共4页
Journal of Tissue Engineering and Reconstructive Surgery
关键词
手畸形
先天性
支具治疗
多发手部关节挛缩
Hand deformities
Congenital
Brace treatment
Multiplex hand arthocontracture
