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创伤后肘关节僵硬合并异位骨化的预防及治疗

     

摘要

目的:总结创伤后肘关节僵硬合并异位骨化的预防及治疗对策.方法:整理我院2013年2月至2015年2月创伤后出现肘关节僵硬合并异位骨化患者的临床资料,患者中于我院接受手术松解及康复治疗者有23例术后随访时间≥2年,比较其术前、末次随访时肘关节屈伸活动范围、关节功能评分变化,总结治疗效果并探讨预防对策.结果:患者术后切口均愈合良好,随访24~55个月,中位随访时间36个月,随访期间除1例患者异位骨化复发外,其余患者关节功能均明显改善.与术前相比,患者末次随访时肘关节屈伸活动范围、关节功能评分均明显上升,差异有统计学意义(P<0.05).结论:外科手术治疗创伤后肘关节僵硬合并异位骨化效果可靠,但手术本身的并发症风险值得重视,采取药物、康复训练等方式尽可能降低异位骨化发生率,可改善患者关节功能恢复质量.%Objective: The objective of this study was to summarize the prevention and treatment measures of posttraumatic stiff elbow combining heterotopic ossification. Methods: A total of 23 patients with posttraumatic stiff elbow combining heterotopic ossification treated in our hospital were retrospectively analyzed and were given lysis and rehabilitation treatment, being followed up for more than 2 years. The range of motion of elbow and elbow function before the treatment and at the time of the latest follow-up were compared. The effect was summarized and the prevention measures were explored. Results: The postoperative incisions were well-healed, and the follow-up time lasted from 24 to 55 months with the median time of 36 months. During the follow-up, 1 patient had heterotopic ossification and the rest of patients recovered well. Compared to the preoperative, the range of motion of elbow and elbow function at the time of the latest follow-up were significantly improved, the differences were statistically significant (P<0.05). Conclusion: Surgical procedure has a reliable effect on posttraumatic stiff elbow combining heterotopic ossification. However, the risk of the complications should be attached great importance, which can be reduced by medication employment and rehabilitation training.

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