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[Clinical study of movable external fixation for elbow tuberculosis]
Tian-Yi Cao1, Gang Zu1, Jun Fei1
1Department of Orthopaedics, Tuberculosis Diagnosis and Treatment Center, Zhejiang Integrated Traditional Chinese and Western Medicine Hospital, Hangzhou 310003, Zhejiang, China.
Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology
|October 27, 2020
Summary
Movable external fixation and fusion fixation show similar outcomes for elbow tuberculosis regarding operative time, blood loss, and infection control. However, movable fixation allows earlier functional exercise, potentially offering better long-term results despite initial pain.
Area of Science:
- Orthopedics
- Infectious Diseases
- Surgical Techniques
Background:
- Elbow tuberculosis is a significant challenge requiring effective treatment strategies.
- Surgical interventions aim to control infection and restore function.
Purpose of the Study:
- To compare the clinical efficacy of movable external fixation versus fusion fixation for treating elbow tuberculosis.
Main Methods:
- A comparative study of 52 patients with elbow tuberculosis treated with either movable external fixation or fusion fixation.
- Evaluation included operative time, blood loss, VAS pain scores, Mayo Elbow Performance Score (MEPS), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP).
Main Results:
- No significant differences in operative time, blood loss, or infection markers (ESR, CRP) between the groups.
- Movable external fixation showed significantly better pain relief at 2 weeks post-operation (P<0.01) but comparable pain relief at 12 months.
- Movable external fixation resulted in significantly higher MEPS at 1 and 12 months post-operation (P<0.01).
Conclusions:
- Both fixation methods are effective in managing elbow tuberculosis regarding surgical parameters and infection control.
- Movable external fixation facilitates earlier functional exercise and demonstrates superior functional outcomes (MEPS) compared to fusion fixation.
- Movable external fixation is recommended for clinical promotion due to its advantages in functional recovery.
