摘要
目的分析肱骨髁间粉碎性骨折术后肘关节屈伸功能受限的原因。方法1992年4月～2002年8月收治的32例内固定术后肱骨髁间粉碎性骨折临床资料的回顾性分析,探讨其中11例肘关节功能障碍的原因。结果随访8～24个月,平均14个月,骨折全部愈合。采用李稔生肘关节疗效判断标准:优14例,良7例,一般8例,差3例。11例(34.4%)肘关节均有不同程度屈伸障碍。结论致伤暴力大、损伤范围广、制动时间长、肘部感染及手术操作技术失误是导致肘关节功能障碍的主要原因。
Objective To analyze the causes for dysfunctions in elbow flexion and extension after internal fixation for the humeral intercondylar comminuted fractures. Methods 32 patients with humeral intercondylar comminuted fracture were treated with internal fixation in our hospital from April 1992 to August 2002. Their clinical data were reviewed retrospectively to explore the causes for dysfunctions in elbow flexion and extension in 11 cases (34.4%). Results The follow-up observation lasted from 8 months to 2 years, averaging 14 months. All the fractures healed. According to Li Ren-sheng’s criteria for clinical evaluation of elbow joint, the scores were excellent in 14 cases, fine in 7, aceptable in 8 and poor in 3. Conclusion The main causes for the elbow dysfunction in flexion and extension are extensive and serious injuries, long-term limb external fixation with plaster splint, elbow infection and improper operative skill.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第8期946-948,共3页
Chinese Journal of Orthopaedic Trauma
关键词
肘关节
功能障碍
肱骨髁间粉碎性骨折
内骨折固定术
Elbow joint
Dysfunction
Humeral intercondylar comminuted fracture
Fracture fixation, internal
