[1]肖丹,陈辰,查晔军,等.改良松解术治疗创伤后肘关节僵硬的疗效及危险因素分析[J].中华老年骨科与康复电子杂志,2024,(05):257-263.[doi:10.3877/cma.j.issn.2096-0263.2024.05.001]
　Xiao Dan,Chen Chen,Zha Yejun,et al.Clinical prognosis and risk factors of post-traumatic elbow stiffness treated by modified elbow arthrolysis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2024,(05):257-263.[doi:10.3877/cma.j.issn.2096-0263.2024.05.001]
点击复制

改良松解术治疗创伤后肘关节僵硬的疗效及危险因素分析()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2024年05期
页码:
257-263
栏目:
上肢骨折
出版日期:
2024-10-05

文章信息/Info

Title:
Clinical prognosis and risk factors of post-traumatic elbow stiffness treated by modified elbow arthrolysis
作者:
肖丹; 陈辰;  查晔军; 公茂琪; 花克涵; 孙伟桐; 蒋协远
100035 北京，首都医科大学附属北京积水潭医院创伤骨科
Author(s):
Xiao Dan;  Chen Chen;  Zha Yejun;  Gong Maoqi;  Hua Kehan;  Sun Weitong;  Jiang Xieyuan.
Department of Orthopedic trauma, Beijing Jishuitan Hospital, Capital Medical University, Beijing 10035, China
关键词:
创伤后肘关节僵硬;  开放肘关节松解术;  临床预后;  多因素分析
Keywords:
Post-traumatic elbow stiffness;  Open elbow arthrolysis;  Clinical prognosis;  Multivariate analysis
DOI:
10.3877/cma.j.issn.2096-0263.2024.05.001
文献标志码:
A
摘要:
目的 分析改良肘关节松解术治疗创伤后肘关节僵硬（PTES）的临床预后，探究影响预后的危险因素。方法 回顾性收集2018年6月至2021年1月于我院行改良松解术的PTES患者的临床资料。首先，对患者术前及末次随访功能进行比较分析；随后，根据末次随访关节活动度将患者分为预后良好和预后不良两组，通过多因素分析，探究导致预后不良的危险因素。结果 本研究纳入了127例患者，男77例，女50例，平均年龄（36.9±12.3）岁,平均随访时间（22.7±10.8）个月（12～45个月）。末次随访肘关节屈伸活动度较术前增加70.8°，前臂旋转活动度较术前增加14.3°；MEPS评分较术前增加30.0分；DASH评分较术前减少25.0分，VAS评分较术前减少0.0分。通过多因素分析，青少年、中老年、肥胖、主利手侧、原始开放损伤、受伤至松解时间超过2年，以及术前存在PTOA为PTES行改良松解术预后不良的独立危险因素。结论 改良松解术治疗PTES，总体可获得相对满意的临床预后。年龄、肥胖、主利手侧、原始开放损伤、受伤至松解时间过长，以及术前存在PTOA为PTES行改良松解术预后不良的危险因素。
Abstract:
Objectives To analyze the clinical prognosis of modified elbow arthrolysis in the treatment of post-traumatic elbow stiffness (PTES), and to analyse the prognostic risk factors of OEA. Methods We retrospectively collected the clinical data of patients with PTES at our institution between June 2018 and January 2021. Firstly, we compared the functional outcomes before surgery and at the last follow-up. Secondly, based on the elbow ROM, we divided the patients into two groups, identified the risk factors that affect the prognosis using multivariate logistic regression. Results The data of 127 patients(77 males, 50 females) of PTES was collected. The mean age is (36.9±12.3) years. The mean follow-up time is 22.7±10.8 months (12-45 months). At the last follow-up, the ROM of flexion and extension increased 70.8° than that before surgery, the ROM of the forearm rotation increased 14.3°, the MEPS increased 30.0, the DASH decreasd 25.0 , and the VAS decreasd to 0.0 (0.0, 3.0). Through the multivariate analysis, the adolescent, middle and elderly patients, obesity, the dominant arm, the initial open fracture, the time from the initial injury to the OEA, and having PTOA before OEA were the independent risk factors that affect the prognosis. Conclusions Modified elbow arthrolysis can get good prognosis in the treatment of PTES. Age, obesity, the dominant arm, the initial open fracture, the time from the initial injury to the OEA, and having PTOA before OEA were the independent risk factors that affect the prognosis.

备注/Memo

备注/Memo:
基金项目：北京积水潭医院“学科骨干”计划专项经费（XKGG202101）
更新日期/Last Update: 2024-10-12