[1]唐 弢,邝 伟.肘关节外侧入路治疗成人肱骨小头骨折的效果及对肘关节功能的影响[J].医学信息,2021,34(11):127-129.[doi:10.3969/j.issn.1006-1959.2021.11.035]
　TANG Tao,KUANG Wei.The Effect of Lateral Elbow Joint Approach in the Treatment of Adult Humeral Head Fractures and Its Effect on Elbow Joint Function[J].Medical Information,2021,34(11):127-129.[doi:10.3969/j.issn.1006-1959.2021.11.035]
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肘关节外侧入路治疗成人肱骨小头骨折的效果及对肘关节功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年11期
页码:
127-129
栏目:
临床研究
出版日期:
2021-06-01

文章信息/Info

Title:
The Effect of Lateral Elbow Joint Approach in the Treatment of Adult Humeral Head Fractures and Its Effect on Elbow Joint Function
文章编号:
1006-1959（2021）11-0127-03
作者:
唐 弢; 邝 伟
（成都骨科医院创伤骨科，四川 成都 610000）
Author(s):
TANG Tao; KUANG Wei
(Department of Traumatology and Orthopedics,Chengdu Orthopedic Hospital,Chengdu 610000,Sichuan,China)
关键词:
肱骨小头骨折; 肘关节外侧入路; 肘关节功能
Keywords:
Humeral head fracture; Lateral elbow approach; Elbow joint function
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2021.11.035
文献标志码:
A
摘要:
目的 观察肘关节外侧入路切开复位内固定治疗成人肱骨小头骨折的效果。方法 选取2014年2月~2019年8月我院创伤骨科接诊的42例成人肱骨小头骨折患者为研究对象，采用随机数字表法分为对照组和观察组，各21例。对照组采用经肘后尺骨鹰嘴截骨入路切开复位内固定治疗，观察组采用肘关节外侧入路内固定治疗，比较两组手术指标、Broberg-Morrey肘关节功能评分、肘关节屈伸活动度以及并发症发生情况。结果 观察组手术时间短于对照组，术中出血量、住院时间均小于对照组，差异有统计学意义（P＜0.05）；观察组Broberg-Morrey肘关节评分高于对照组，差异有统计学意义（P＜0.05）；观察组肘关节屈伸活动度（114.20±4.06）°，大于对照组的（102.33±3.72）°，差异有统计学意义（P＜0.05）；随访1年，观察组并发症发生率为9.52%，低于对照组的19.05%，差异有统计学意义（P＜0.05）。结论 肘关节外侧入路治疗成人肱骨小头骨折效果确切，手术时间短，术中出血量少，术后恢复快，可促进患者肘关节功能恢复，改善肘关节屈伸活动度，降低并发症发生率，可作为临床治疗成人肱骨小头骨折的重要手术入路。
Abstract:
Objective To observe the effect of open reduction and internal fixation through the lateral elbow joint in the treatment of adult humeral head fractures.Methods A total of 42 adult patients with humeral head fractures who were admitted to the Department of Traumatology and Orthopedics in our hospital from February 2014 to August 2019 were selected as the research objects. They were divided into a control group and an observation group by random number table method, with 21 cases in each group.The control group was treated with open reduction and internal fixation through the posterior elbow olecranon osteotomy approach, and the observation group was treated with external fixation of the elbow joint. The surgical indicators, Broberg-Morrey elbow joint function score, and elbow joint flexion and extension activities were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group, and the blood loss and hospital stay were shorter than those of the control group,the difference was statistically significant(P<0.05);The Broberg-Morrey elbow score of the observation group was higher than that of the control group,the difference was statistically significant (P＜0.05);The elbow flexion and extension range of the observation group was (114.20±4.06)°, which was greater than that of the control group (102.33±3.72)°,the difference was statistically significant (P＜0.05);After 1 year of follow-up, the complication rate in the observation group was 9.52%,it was lower than 19.05% of the control group, the difference was statistically significant (P<0.05).Conclusion The lateral elbow approach is effective in treating adult humeral head fractures, with short operation time, less intraoperative blood loss, and quick postoperative recovery. It can promote the recovery of elbow joint function, improve the elbow joint flexion and extension range, and reduce the incidence of complications. It can be used as an important surgical approach for the clinical treatment of adult humeral head fractures.

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更新日期/Last Update: 1900-01-01