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成年人肘部的收脱:一个回顾性研究
Maoqi Gong1, Hanzhou Wang2, Xieyuan Jiang3
1Department of Orthopedic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, P.R. China; Department of Orthopedic Surgery, Beijing Jishuitan Hospital, Beijing 100035, P.R. China.
Injury
|July 13, 2023
概括
在成年人中,手术治疗肘部收脱位 (CDE) 显著改善了肘部和前臂的运动. 在失败的封闭缩减后的操作方法产生了令人满意的结果,尽管在某些情况下需要进一步的程序.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 肌肉骨系统 运动器官系统
背景情况:
- 肘部收性脱位 (CDE) 是一种复杂的损伤,需要有效的治疗.
- 在失败的封闭缩减尝试后,考虑进行手术干预.
研究的目的:
- 评估成年人的手术治疗和CDE的临床结果.
- 评估对CDE的运营管理的有效性.
主要方法:
- 对11名患有CDE的成年患者进行了回顾性研究,这些患者在未成功的封闭缩减后接受了手术治疗.
- 在手术前和后测量了肘部和前臂的运动范围 (ROM).
- 梅奥肘部性能评分 (MEPS) 用于功能性结果评估.
主要成果:
- 在肘部曲-延伸 (27.3°至116.8°) 和前臂伸展-俯卧 (21.8°至106.4°) 方面观察到显著的改善 (p < 0.001).
- 最终高的MEPS分数 (95.9 ± 7.0) 表明了良好的功能结果.
- 七名患者患有肘部硬,三名患者需要进行二次手术 (关节解脱,部神经转移).
结论:
- 在CDE失败后的闭合降低后的操作管理可以实现令人满意的临床结果.
- 解剖缩小和早期康复对于成功手术治疗CDE至关重要.
- 潜在的并发症包括肘部硬,在某些情况下需要进一步的手术干预.
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