|
|
Application effect comparison of external fixator and plaster fixation in patients with elbow joint stiffness releasing surgery |
LIANG Jian-xin GUO Jiu-sheng LI Qi |
Department of Orthopedics, People′s Hospital of Yudu County, Jiangxi Province, Yudu 342300, China |
|
|
Abstract Objective To compare the application effect of external fixator and plaster fixation in patients with elbow joint stiffness releasing surgery. Methods A total of 40 cases of elbow joint stiffness admitted to our hospital from April 2018 to April 2019 were selected as research objects. According to the random number table method, they were divided into external fixator group (n=20) and plaster fixation group (n=20), both groups were treated with the same surgical releasing method. The Amadio score, range of elbow joint motion, Mayo score, clinical treatment satisfaction, and recurrence of the two groups of patients were observed before surgery and 1 month after surgery. Results The Amadio score,range of elbow joint motion and Mayo score of patients between the two groups before surgery and 1 month after surgery had no significant differences (P>0.05). The Amadio score, range of elbow joint motion and Mayo score of 1 month after surgery were higher than those of this group before surgery, the differences were statistically significant (P<0.05); and the clinical treatment total satisfaction of the external fixator group was higher than that in the plaster fixation group,and the recurrence rate was lower than that in the plaster fixation group, the differences were statistically significant(P<0.05). Conclusion Compared with plaster fixation, the external fixator has a better application effect after elbow joint stiffness releasing surgery. It can not only improve the Amadio score, range of elbow joint motion, and the Mayo score, but also increase the satisfaction of clinical treatment and reduce the recurrence rate.
|
|
|
|
|
[1] |
杨颇,宋开芳,秦杰,等.手术松解联合外支架治疗伴疼痛的肘关节功能障碍近期疗效观察[J].重庆医学,2017,46(8):1063-1065.
|
[2] |
邓建林,伍翰笙,张意辉,等.多模式镇痛在创伤性肘关节僵硬松解术后康复治疗时应用的效果分析[J].中国骨与关节损伤杂志,2019,34(3):314-316.
|
[3] |
高鹏,李翰鹏,姜磐.肘关节开放松解术联合外固定支架治疗肱骨骨折术后肘关节僵硬疗效的前瞻性研究[J].中国骨与关节杂志,2017,6(11):806-809.
|
[4] |
孟春庆,王洪,章其敏,等.全关节镜松解术治疗肘关节僵硬的影响因素分析[J].华中科技大学学报(医学版),2019,48(4):450-453.
|
[5] |
王磊,张申申,郭卫中.单臂铰链式外固定支架治疗创伤后肘关节僵硬的临床应用[J].中华手外科杂志,2018,34(1):59-61.
|
[6] |
HONGSUNGMIN,徐佳,汪春阳,等.外固定支架在肱骨干萎缩性骨不连中的应用及疗效[J].生物骨科材料与临床研究,2019,16(4):30-32.
|
[7] |
李国珅,公茂琪,蒋协远,等.冠状突内固定后修复外侧副韧带与铰链式外固定架治疗肘关节内翻后内侧旋转不稳定的疗效比较[J].中华创伤杂志,2017,33(5):397-403.
|
[8] |
苏周伟,谭静.外固定架与传统固定法对骨科创伤肘关节功能的影响[J].中国社区医师,2019,35(21):56,59.
|
[9] |
王杰.外固定架与传统固定法对骨科创伤肘关节功能的影响[J].中国社区医师,2018,34(36):61,63.
|
[10] |
赵海军,申成凯.外固定架与传统固定法对骨科创伤肘关节功能的影响[J].中外医疗,2017,36(10):4-6.
|
[11] |
汪勇刚,王敏.三种不同内固定方案治疗成人MasonⅡ型桡骨小头骨折的效果[J].中国医药导报,2019,16(6):62-65.
|
[12] |
杜兵.外固定架在骨科创伤治疗中的应用效果探讨[J].临床医学研究与实践,2017,2(8):90-91.
|
[13] |
沈潜.手法复位联合弹性髓内钉固定在小儿肱骨干骨折中的应用效果[J].河南医学研究,2019,28(2):249-250.
|
[14] |
郭占豪,王军建,季泽娟.手法复位联合弹性髓内钉固定治疗小儿肱骨干骨折的疗效评价[J].临床研究,2018,26(11):82-83.
|
[15] |
梁媛,卢林,邓京城.手法复位联合弹性髓内钉固定在小儿肱骨干骨折患者中的应用[J].海南医学,2017,28(13):2176-2178.
|
[16] |
李哲,冯祁军,刘师良.内外侧肌群-韧带复合体彻底剥离松解术治疗创伤后异位骨化所致肘关节僵硬的临床效果[J].中国现代医生,2017,55(31):58-61.
|
[17] |
姜武,李文利,姜亮.内外侧肌群-韧带复合体彻底剥离松解术治疗创伤后异位骨化所致肘关节僵硬13 例[J].海南医学,2014,25(19):2909-2910.
|
[18] |
钟刚,黄富国,岑石强,等.内外侧肌群-韧带复合体彻底剥离松解治疗创伤后异位骨化所致肘关节僵硬[J].国际骨科学杂志,2012,33(1):10-12.
|
|
|
|