手术治疗肘关节恐怖三联征疗效分析
摘要
[目的]探讨不同术式及固定方式治疗肘关节恐怖三联征的疗效。[方法]回顾性分析2015年8月～2018年4月手术治疗的22例肘关节恐怖三联征患者,采用Mayo肘关节功能评分(MEPS)进行疗效评估。[结果] 22例患者均获随访,末次随访时肘关节屈伸活动度为90°～135°,前臂旋转活动度为95°～160°,MEPS评分:优14例,良5例,可2例,差1例。[结论]肘关节恐怖三联征虽并发症多,治疗难度大,若早期行手术治疗,重建肘关节的解剖结构及稳定性,并进行早期的功能锻炼,仍可达到满意疗效。
引文
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[3]张世民,俞光荣,袁锋,等.肘关节后脱位伴桡骨头和尺骨冠突骨折(恐怖三联征)5例初步报告[J].中国矫形外科杂志,2007(14):1069-1073.
[4]Forthman C,Henket M,Ring DC.Elbow dislocation with intra-artic-ular fracture:the results of operative treatment without repair of the medial collateral ligament[J].J Hand Surg Am,2007,32(8):1200-1209.
[5]Schneeberger AG,Sadowski MM,Jacob HA.Coronoid process and radial head as posterolateral rotatory stabilizer of the elbow[J].JBone Joint Surg Am,2004,86(5):975-982.
[6]Armstrong AD.The terrible triad injury of the elbow[J].Curr Opin Orthop,2005,16(4):267-270.
[7]Garrigues GE,Wray WH 3rd,Lindenhovius AL,et al.Fixation of the coronoid process in elbow fracture-dislocations[J].J Bone Joint Surg Am,2011,20:1873-1881.
[8]Ring D,Jupiter JB,Zilberfarb J.Posterior dislocation of the elbow with fractures of the radial head and coronoid[J].J Bone Joint Surg Am,2002,84(4):547-551.
[9]宋开芳,陈艺新,栾波,等.组合式人工桡骨头假体置换治疗成人桡骨头骨折[J].实用骨科杂志,2003,4:272-273.
[10]张弛,仲飙,罗从风,等.外侧入路联合前内侧入路治疗肘关节“恐怖三联征”的手术疗效[J].中华骨科杂志,2015,35(4):320-327.
[11]于连祥,丁晓琳,刘庆鹏,等.影响肘关节恐怖三联征治疗效果的因素分析[J].中国矫形外科杂志,2013,21(12):1190-1194.
[2]张世民,周家钤,俞光荣.肘关节严重损伤三联征[J].中国矫形外科杂志,2005,13(10):782-785.
[3]张世民,俞光荣,袁锋,等.肘关节后脱位伴桡骨头和尺骨冠突骨折(恐怖三联征)5例初步报告[J].中国矫形外科杂志,2007(14):1069-1073.
[4]Forthman C,Henket M,Ring DC.Elbow dislocation with intra-artic-ular fracture:the results of operative treatment without repair of the medial collateral ligament[J].J Hand Surg Am,2007,32(8):1200-1209.
[5]Schneeberger AG,Sadowski MM,Jacob HA.Coronoid process and radial head as posterolateral rotatory stabilizer of the elbow[J].JBone Joint Surg Am,2004,86(5):975-982.
[6]Armstrong AD.The terrible triad injury of the elbow[J].Curr Opin Orthop,2005,16(4):267-270.
[7]Garrigues GE,Wray WH 3rd,Lindenhovius AL,et al.Fixation of the coronoid process in elbow fracture-dislocations[J].J Bone Joint Surg Am,2011,20:1873-1881.
[8]Ring D,Jupiter JB,Zilberfarb J.Posterior dislocation of the elbow with fractures of the radial head and coronoid[J].J Bone Joint Surg Am,2002,84(4):547-551.
[9]宋开芳,陈艺新,栾波,等.组合式人工桡骨头假体置换治疗成人桡骨头骨折[J].实用骨科杂志,2003,4:272-273.
[10]张弛,仲飙,罗从风,等.外侧入路联合前内侧入路治疗肘关节“恐怖三联征”的手术疗效[J].中华骨科杂志,2015,35(4):320-327.
[11]于连祥,丁晓琳,刘庆鹏,等.影响肘关节恐怖三联征治疗效果的因素分析[J].中国矫形外科杂志,2013,21(12):1190-1194.