切开松解与关节镜下松解治疗混合型肘关节僵硬疗效比较
A comparison of treatments for mixed elbow stiffness with the open arthrolysis and arthroscopic arthrolysis
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摘要: 目的:比较切开松解与关节镜下松解治疗混合型肘关节僵硬的临床效果。方法:21例接受切开松解术(切开组),创伤至松解时间平均13.5个月。另21例采用关节镜下肘关节僵硬松解术(关节镜组),创伤至松解时间平均12.9个月。根据关节活动度(ROM)及Mayo肘关节功能评分标准,对比研究2组的临床效果。结果:2组获得18～49个月随访,术后ROM及Mayo肘关节功能评分均较术前显著增加(P0.01);切开组ROM及Mayo肘关节功能评分优于关节镜组(P0.01)。结论:切开松解和关节镜下松解治疗混合型肘关节僵硬均安全有效,但切开松解在术后可获得更好的肘关节活动度和功能康复。Abstract: Objective:To compare the effects of treatment mixed elbow stiffness with the open arthrolysis and arthroscopic arthrolysis.Methods:Twenty-one cases with mixed elbow stiffness were treated with open arthrolysis,and the mean interval time between trauma and arthrolysis was 13.5 months,the other 21 cases were treated with arthroscopic arthrolysis as control,and the mean interval time was 12.9 months.The treatment effects of the open arthrolysis and arthroscopic arthrolysis were compared according to the criterions of range of motion(ROM) and elbow joint founction of Mayo.Results:All cases were followed up for 18 to 49 months.The postoperation scores of ROM and Mayo of all cases were significantly improved compared with that of preoperation(P0.01).The postoperation scores of the open arthrolysis group were better than that of the arthroscopic arthrolysis group(P0.01).Conclusions:The open arthrolysis and arthroscopic arthrolysis are safe and effective method for treating mixed elbow stiffness.Meanwhile,the open arthrolysis can better improve the motion range of elbow joint and promote its functional recovery than the arthroscopic arthrolysis group.
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