创伤性漂浮肘伴血管损伤的早期诊治  

The Early Treatment for Traumatic Floating Elbow with Vascular Injury

作　　者：李明东[1] 赵吉连[1] 尹占文[1] 

机构地区：[1]赤峰市医院骨科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2010年第4期420-422,共3页Inner Mongolia Medical Journal

摘　　要：目的：分析漂浮肘合并血管损伤术后肘关节的功能、并发症及影响因素。方法：我院从1999年1月-2008年5月对22例合并血管损伤的漂浮肘患者进行了开放复位内固定术,术后随访1-5年（平均38个月）,按肘关节功能评价标准（JOA）对肘关节功能进行评价,并对随访结果进行回顾性研究。结果：22例患者全部得到随访,21例骨折愈合,1例骨折畸形愈合;1例再骨折,1例深部感染;JOA评分：优6例,良8例,一般4例,较差4例。结论：准确的术前判断、精确的血管吻合技术、合理的固定是获得良好的关节功能和减少并发症的有效手段。Objective：To analyse elbow fuction、complication and other factors of floating elbow with vascular injury in patients receiving surgical treatment.Methods： 22 patients were treated with open reduction and internal fixation for floating elbow between 1999 and 2008,at mean follow-up of 38 months（range 1～5 years）,all cases underwent standardized elbow evaluation（JOA）.Results： In all 22 patients,all were follow-up,21 cases of fracture healing,one case of malunion;one case of re-fracture、one case of deep infection;The mean elbow score was 6 cases having excellent results,with 8 cases having good results,4 cases fair results and 4 cases poor results.Conclusion： To acquire excellent results and minimize subsequent complications,accurate estimation,precise vascular anastomisis technic,rational fixation should be the first choice.

关 键 词：漂浮肘 内固定 关节功能 

分 类 号：R683.41[医药卫生—骨科学] R692[医药卫生—外科学]