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find Keyword "肘关节功能" 3 results
  • EFFECTIVENESS OF AO ANATOMICAL LOCKING COMPRESSION PLATE IN TREATING TYPE C DISTAL HUMERAL FRACTURE

    Objective To evaluate the effectiveness of the AO anatomical locking compression plate in treating type C distal humeral fracture. Methods Between July 2008 and April 2009, 13 cases of type C distal humeral fracture were treated with the AO anatomical locking compression plates. There were 5 males and 8 females with an average age of 52.1 years (range, 24-80 years). Fractures were caused by tumbl ing in 7 cases, by traffic accident in 4 cases, and by fall ing from height in2 cases. According to Association for Osteosynthesis/Orthopaedic Trauma Association (AO/OTA) classification, there were 3 cases of type C1, 6 cases of type C2, and 4 cases of type C3. Two cases compl icated by ulnar nerve injuries, 1 by radial nerve injury, 2 by fractures of ulnar olecranon, 3 by fractures of other parts of extremities, and 6 by osteoporosis. The time from injury to hospital ization ranged from 3 hours to 4 days (0.9 day on average). Results All the incisions achieved heal ing by first intention. Thirteen cases were followed up 12 to 21 months with an average of 15.9 months. According to the X-ray films, unions were achieved both at fracture site and the olecranon osteotomy site with a heal ing time of 8 to 13 weeks (10 weeks on average). The function of elbows recovered from 3 to 32 weeks (10 weeks on average). No fixation failure, myositis ossifican, delayed union, or malunion occurred during the follow-up. The Mayo Elbow Performance score ranged from 75 to 100 with an average score of 95.8; the results were excellent in 9 cases, good in 3 cases, and fair in 1 case with an excellent and good rate of 92.3%. Conclusion The AO anatomical locking compression plate has a good fixation in treating type C distal humeral fracture. Through the approach of olecranon osteotomy, it is easy to get anatomical reduction, stable fixation, and early exercise.

    Release date:2016-09-01 09:04 Export PDF Favorites Scan
  • Effect of Early Rehabilitation Nursing on Elbow Joint Functional Recovery after Artificial Radial Head Replacement

    ObjectiveTo explore the effect of early rehabilitation nursing on elbow joint function recovery after artificial radial head replacement. MethodsFrom June 2010 to June 2012, 42 patients with artificial radial head replacement were randomly divided into two groups:trial group and control group. The control group was treated by the doctor instructions following routine rehabilitation therapy and nursing. The trial group received the guidance of professional rehabilitation nursing and early rehabilitation training. ResultsThe patients' range of elbow joint activities, alleviation of the pain, the strength grade, and the rehabilitation effect in the trial group was obviously better than those in the control group (P<0.05). There was no statistically significant difference between two groups in joint stability (P<0.05). ConclusionThe rehabilitation nursing should start early after the surgery for the artificial radial head replacement. It can prevent joint stiffness, joint conglutination and muscle disuse atrophy, reduce complications, and improve the quality of survival.

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  • 应用解剖锁定钢板治疗O'DriscollⅡ型及Ⅲ型尺骨冠突骨折近期疗效

    目的总结解剖锁定钢板治疗O'DriscollⅡ、Ⅲ型尺骨冠突骨折的近期疗效。 方法2012年12月-2013年12月,采用解剖锁定钢板治疗11例尺骨冠突骨折患者。男7例,女4例;年龄23~68岁,平均41.2岁。致伤原因:摔伤6例,交通事故伤3例,高处坠落伤2例。根据O'Driscoll分型标准,Ⅱ型4例,Ⅲ型7例。合并尺侧副韧带损伤5例,尺神经损伤2例。受伤至手术时间2~8 d,平均4.2 d。 结果术后切口均Ⅰ期愈合。11例均获随访,随访时间6~18个月,平均12个月。X线片复查示,骨折均解剖复位并达骨性愈合,愈合时间6~10周,平均8周。末次随访时,肘关节屈伸活动度为112~145°,平均130°;前臂旋转116~148°,平均135°。Mayo肘关节功能评分为74~100分,平均87.8分;其中优6例,良4例,可1例,优良率90.9%。 结论采用切开复位解剖锁定钢板内固定治疗O'DriscollⅡ、Ⅲ型尺骨冠突骨折,固定强度佳,允许术后早期功能锻炼,肘关节功能恢复良好,并发症少。

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