铰链式外固定架结合VSD治疗复杂开放性肘关节骨折脱位

发布时间：2018-11-15 21:52

【摘要】：[目的]探讨铰链式外固定架结合VSD对复杂开放性肘关节骨折脱位的治疗及疗效。[方法]2014年1月~2016年1月,收治复杂开放性肘关节骨折脱位的患者14例。采用铰链式外固定架固定、VSD覆盖等方式进行治疗。最后一次随访时采用HSS肘关节功能评分标准进行肘关节功能评定。[结果]治疗14例患者中11例获得随访,3例失访,随访时间5~18个月,平均9个月。HSS评分60~94分,平均(83±8)分,优2例,良5例,可2例,差2例,优良率63.6%。[结论]铰链式外固定架结合VSD联合应用治疗复杂开放性肘关节骨折脱位,既能够有效且迅速的稳定肘关节,为血管、神经及软组织的恢复提供一个稳定的环境,也可使患肢肘关节早期活动,避免肘关节僵硬及软组织挛缩的可能,创面得到有效封闭,减少感染的发生,愈合更快且愈合率更高,是治疗复杂开放性肘关节骨折脱位行之有效的办法。
[Abstract]:Objective: to investigate the effect of hinged external fixator combined with VSD in the treatment of complex open fracture and dislocation of elbow joint. [methods] from January 2014 to January 2016, 14 patients with complicated open fracture and dislocation of elbow joint were treated. Hinged external fixator and VSD cover were used to treat the patients. At the last follow-up, the function of elbow joint was evaluated by HSS elbow function score. [results] of the 14 cases, 11 cases were followed up, 3 cases lost the visit, the follow-up time was 5 ~ 18 months (mean 9 months). The HSS score was 6094, the average score was (83 卤8), excellent in 2 cases, good in 5 cases, fair in 2 cases, poor in 2 cases, excellent and good rate in 63.6%. [conclusion] the combined use of hinged external fixator and VSD in the treatment of complex open fracture and dislocation of elbow joint can effectively and rapidly stabilize the elbow joint and provide a stable environment for the recovery of blood vessels, nerves and soft tissues. It can also make the elbow joint of the affected limb move early, avoid the possibility of elbow stiffness and soft tissue contracture, effectively seal the wound, reduce the incidence of infection, heal faster and the rate of healing is higher. It is an effective method to treat complex open fracture and dislocation of elbow joint.
【作者单位】：新疆医科大学第一附属医院;新疆医科大学第五附属医院;
【基金】：新疆维吾尔自治区自然科学基金(编号:2016D01C238)
【分类号】：R687.32

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