肱骨远端关节内骨折治疗与康复研究进展
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摘要
成人肱骨远端骨折约占肱骨骨折的1/3,且骨折发生率有增长趋势。肱骨远端骨折易累及关节面,术后并发症高发,同时影响功能恢复。肱骨远端骨折的成功治疗取决于骨折的正确复位,固定的稳定性和刚度,以及适当的康复锻炼。该文回顾近年文献,对当前的治疗理念,常用手术入路及手术方法的利与弊,手术并发症的防治方法及早期功能锻炼进行综述。
引文
[1]Anglen J.Distal humerus fractures[J].J Am Acad Orthop Surg,2005,13(5):291-297.
[2]Kannus P,Niemi S,Parkkari J,et al.Why is the age-standardized incidence of low-trauma fractures rising in many elderly populations?[J].J Bone Miner Res,2002,17(8):1363-1367.
[3]Gofton WT,Macdermid JC,Patterson SD,et al.Functional outcome of AO type C distal humeral fractures[J].J Hand Surg Am,2003,28(2):294-308.
[4]Srinivasan K,Agarwal M,Matthews SJ,et al.Fractures of the distal humerus in the elderly:is internal fixation the treatment of choice?[J].Clin Orthop Relat Res,2005,434:222-230.
[5]Chaudhary S,Patil N,Bagaria V,et al.Open intercondylar fractures of the distal humerus:management using a mini-external fixator construct[J].J Shoulder Elbow Surg,2008,17(3):465-470.
[6]K9mürcüM,YanmiI,Atealp AS,et al.Treatment results for open comminuted distal humerus intra-articuler fractures with Ilizarov circular external fixator[J].Mil Med,2003,168(9):694-697.
[7]Gupta R,Khanchandani P.Intercondylar fractures of the distal humerus in adults:a critical analysis of 55cases[J].Injury,2002,33(6):511-515.
[8]Illical EM,Farrell DJ,Siska PA,et al.Comparison of outcomes after triceps split versus sparing surgery for extra-articular distal humerus fractures[J].Injury,2014,45(10):1545-1548.
[9]Zhang C,Zhong B,Luo CF.Comparing approaches to expose type C fractures of the distal humerus for ORIF in elderly patients:six years clinical experience with both the triceps-sparing approach and olecranon osteotomy[J].Arch Orthop Trauma Surg,2014,134(6):803-811.
[10]Erpelding JM,Mailander A,High R,et al.Outcomes following distal humeral fracture fixation with an extensor mechanism-on approach[J].J Bone Joint Surg Am,2012,94(6):548-553.
[11]Yadav V,Sharma P,Gohiya A.Functional outcome of intraarticular distal humerus fracture fixation using triceps-sparing paratricipital approach[J].Indian J Orthop,2016,50(6):595-601.
[12]Vazquez O,Rutgers M,Ring DC,et al.Fate of the ulnar nerve after operative fixation of distal humerus fractures[J].J Orthop Trauma,2010,24(7):395-399.
[13]O’Driscoll SW.Optimizing stability in distal humeral fracture fixation[J].J Shoulder Elbow Surg,2005,14(Suppl 1):S186-S194.
[14]Patel J,Motwani G,Shah H,et al.Outcome after internal fixation of intraarticular distal humerus(AO type B&C)fractures:preliminary results with anatomical distal humerus LCP system[J].J Clin Orthop Trauma,2017,8(1):63-67.
[15]Shin SJ,Sohn HS,Do NH.A clinical comparison of two different double plating methods for intraarticular distal humerus fractures[J].J Shoulder Elbow Surg,2010,19(1):2-9.
[16]Bogataj M,Kosel F,Norris R,et al.Biomechanical study of different plate configurations for distal humerus osteosynthesis[J].Med Biol Eng Comput,2015,53(5):381-392.
[17]Dhurve K,Patil V,Chandanwale AS,et al.Isolated fracture of the trochlea:report of two cases with review of the literature on the mechanism of injury[J].J Evol Med Dent Sci,2013,2(26):4805-4812.
[18]Gon9alves LB,Ring DC.Fractures of the humeral trochlea:case presentations and review[J].J Shoulder Elbow Surg,2016,25(6):e151-e155.
[19]Ellwein A,Lill H,Voigt C,et al.Arthroplasty compared to internal fixation by locking plate osteosynthesis in comminuted fractures of the distal humerus[J].Int Orthop,2015,39(4):747-754.
[20]Obert L,Ferrier M,JacquotA,et al.Distal humerus fractures in patients over 65:complications[J].Orthop Traumatol Surg Res,2013,99(8):909-913.
[21]Mansat P,Bonnevialle N,Rongières M,et al.The role of total elbow arthroplasty in traumatology[J].Orthop Traumatol Surg Res,2014,100(Suppl 6):S293-S298.
[22]Frankle MA,Herscovici D Jr,DiPasquale TG,et al.A comparison of open reduction and internal fixation and primary total elbow arthroplasty in the treatment of intraarticular distal humerus fractures in women older than age 65[J].J Orthop Trauma,2003,17(7):473-480.
[23]McKee MD,Veillette CJ,Hall JA,et al.A multicenter,prospective,randomized,controlled trial of open reduction-internal fixation versus total elbow arthroplasty for displaced intra-articular distal humeral fractures in elderly patients[J].J Shoulder Elbow Surg,2009,18(1):3-12.
[24]Smith GC,Hughes JS.Unreconstructable acute distal humeral fractures and their sequelae treated with distal humeral hemiarthroplasty:a two-year to eleven-year follow-up[J].J Shoulder Elbow Surg,2013,22(12):1710-1723.
[25]Smith GC,Bayne G,Page R,et al.The clinical outcome and activity levels of patients under 55years treated with distal humeral hemiarthroplasty for distal humeral fractures:minimum 2-year follow-up[J].Shoulder Elbow,2016,8(4):264-270.
[26]Bonutti PM,Windau JE,Ables BA,et al.Static progressive stretch to reestablish elbow range of motion[J].Clin Orthop Relat Res,1994,(303):128-134.
[27]贾风荣,周谋望.肘关节骨折术后康复的研究[J].中华康复医学杂志,2005,20(10):744-746.
[28]Oki G,Iba K,Sasaki K,et al.Time to functional recovery after arthroscopic surgery for tennis elbow[J].J Shoulder Elbow Surg,2014,23(10):1527-1531.
[29]Abrams GD,Bellino MJ,Cheung EV.Risk factors for development of heterotopic ossification of the elbow after fracture fixation[J].J Shoulder Elbow Surg,2013,22(7):e31.
[30]Douglas K,Cannada LK,Archer KR,et al.Incidence and risk factors of heterotopic ossification following major elbow trauma[J].Orthopedics,2012,35(6):e815-e822.
[31]Foruria AM,Lawrence TM,Augustin S,et al.Heterotopic ossification after surgery for distal humeral fractures[J].Bone Joint J,2014,96B(12):1681-1687.
[32]Sandeep KN,Suresh G,Gopisankar B,et al.Does excision of heterotopic ossification of the elbow result in satisfactory patient-rated outcomes?[J].Malays Orthop J,2017,11(1):35-40.
[33]Koh KH,Lim TK,Lee HI,et al.Surgical treatment of elbow stiffness caused by post-traumatic heterotopic ossification[J].J Shoulder Elbow Surg,2013,22(8):1128-1134.
[2]Kannus P,Niemi S,Parkkari J,et al.Why is the age-standardized incidence of low-trauma fractures rising in many elderly populations?[J].J Bone Miner Res,2002,17(8):1363-1367.
[3]Gofton WT,Macdermid JC,Patterson SD,et al.Functional outcome of AO type C distal humeral fractures[J].J Hand Surg Am,2003,28(2):294-308.
[4]Srinivasan K,Agarwal M,Matthews SJ,et al.Fractures of the distal humerus in the elderly:is internal fixation the treatment of choice?[J].Clin Orthop Relat Res,2005,434:222-230.
[5]Chaudhary S,Patil N,Bagaria V,et al.Open intercondylar fractures of the distal humerus:management using a mini-external fixator construct[J].J Shoulder Elbow Surg,2008,17(3):465-470.
[6]K9mürcüM,YanmiI,Atealp AS,et al.Treatment results for open comminuted distal humerus intra-articuler fractures with Ilizarov circular external fixator[J].Mil Med,2003,168(9):694-697.
[7]Gupta R,Khanchandani P.Intercondylar fractures of the distal humerus in adults:a critical analysis of 55cases[J].Injury,2002,33(6):511-515.
[8]Illical EM,Farrell DJ,Siska PA,et al.Comparison of outcomes after triceps split versus sparing surgery for extra-articular distal humerus fractures[J].Injury,2014,45(10):1545-1548.
[9]Zhang C,Zhong B,Luo CF.Comparing approaches to expose type C fractures of the distal humerus for ORIF in elderly patients:six years clinical experience with both the triceps-sparing approach and olecranon osteotomy[J].Arch Orthop Trauma Surg,2014,134(6):803-811.
[10]Erpelding JM,Mailander A,High R,et al.Outcomes following distal humeral fracture fixation with an extensor mechanism-on approach[J].J Bone Joint Surg Am,2012,94(6):548-553.
[11]Yadav V,Sharma P,Gohiya A.Functional outcome of intraarticular distal humerus fracture fixation using triceps-sparing paratricipital approach[J].Indian J Orthop,2016,50(6):595-601.
[12]Vazquez O,Rutgers M,Ring DC,et al.Fate of the ulnar nerve after operative fixation of distal humerus fractures[J].J Orthop Trauma,2010,24(7):395-399.
[13]O’Driscoll SW.Optimizing stability in distal humeral fracture fixation[J].J Shoulder Elbow Surg,2005,14(Suppl 1):S186-S194.
[14]Patel J,Motwani G,Shah H,et al.Outcome after internal fixation of intraarticular distal humerus(AO type B&C)fractures:preliminary results with anatomical distal humerus LCP system[J].J Clin Orthop Trauma,2017,8(1):63-67.
[15]Shin SJ,Sohn HS,Do NH.A clinical comparison of two different double plating methods for intraarticular distal humerus fractures[J].J Shoulder Elbow Surg,2010,19(1):2-9.
[16]Bogataj M,Kosel F,Norris R,et al.Biomechanical study of different plate configurations for distal humerus osteosynthesis[J].Med Biol Eng Comput,2015,53(5):381-392.
[17]Dhurve K,Patil V,Chandanwale AS,et al.Isolated fracture of the trochlea:report of two cases with review of the literature on the mechanism of injury[J].J Evol Med Dent Sci,2013,2(26):4805-4812.
[18]Gon9alves LB,Ring DC.Fractures of the humeral trochlea:case presentations and review[J].J Shoulder Elbow Surg,2016,25(6):e151-e155.
[19]Ellwein A,Lill H,Voigt C,et al.Arthroplasty compared to internal fixation by locking plate osteosynthesis in comminuted fractures of the distal humerus[J].Int Orthop,2015,39(4):747-754.
[20]Obert L,Ferrier M,JacquotA,et al.Distal humerus fractures in patients over 65:complications[J].Orthop Traumatol Surg Res,2013,99(8):909-913.
[21]Mansat P,Bonnevialle N,Rongières M,et al.The role of total elbow arthroplasty in traumatology[J].Orthop Traumatol Surg Res,2014,100(Suppl 6):S293-S298.
[22]Frankle MA,Herscovici D Jr,DiPasquale TG,et al.A comparison of open reduction and internal fixation and primary total elbow arthroplasty in the treatment of intraarticular distal humerus fractures in women older than age 65[J].J Orthop Trauma,2003,17(7):473-480.
[23]McKee MD,Veillette CJ,Hall JA,et al.A multicenter,prospective,randomized,controlled trial of open reduction-internal fixation versus total elbow arthroplasty for displaced intra-articular distal humeral fractures in elderly patients[J].J Shoulder Elbow Surg,2009,18(1):3-12.
[24]Smith GC,Hughes JS.Unreconstructable acute distal humeral fractures and their sequelae treated with distal humeral hemiarthroplasty:a two-year to eleven-year follow-up[J].J Shoulder Elbow Surg,2013,22(12):1710-1723.
[25]Smith GC,Bayne G,Page R,et al.The clinical outcome and activity levels of patients under 55years treated with distal humeral hemiarthroplasty for distal humeral fractures:minimum 2-year follow-up[J].Shoulder Elbow,2016,8(4):264-270.
[26]Bonutti PM,Windau JE,Ables BA,et al.Static progressive stretch to reestablish elbow range of motion[J].Clin Orthop Relat Res,1994,(303):128-134.
[27]贾风荣,周谋望.肘关节骨折术后康复的研究[J].中华康复医学杂志,2005,20(10):744-746.
[28]Oki G,Iba K,Sasaki K,et al.Time to functional recovery after arthroscopic surgery for tennis elbow[J].J Shoulder Elbow Surg,2014,23(10):1527-1531.
[29]Abrams GD,Bellino MJ,Cheung EV.Risk factors for development of heterotopic ossification of the elbow after fracture fixation[J].J Shoulder Elbow Surg,2013,22(7):e31.
[30]Douglas K,Cannada LK,Archer KR,et al.Incidence and risk factors of heterotopic ossification following major elbow trauma[J].Orthopedics,2012,35(6):e815-e822.
[31]Foruria AM,Lawrence TM,Augustin S,et al.Heterotopic ossification after surgery for distal humeral fractures[J].Bone Joint J,2014,96B(12):1681-1687.
[32]Sandeep KN,Suresh G,Gopisankar B,et al.Does excision of heterotopic ossification of the elbow result in satisfactory patient-rated outcomes?[J].Malays Orthop J,2017,11(1):35-40.
[33]Koh KH,Lim TK,Lee HI,et al.Surgical treatment of elbow stiffness caused by post-traumatic heterotopic ossification[J].J Shoulder Elbow Surg,2013,22(8):1128-1134.