成人肘关节骨折术后异位骨化的危险因素分析  

Analysis of Risk Factors of Heterotopic Ossification after the Operation for Elbow Fracture in Adults

作　　者：陈润新[1] 王靖[1] 许自立[1] 贾真[1] 王愉思[1] 

机构地区：[1]湖南省人民医院骨科,湖南长沙410005

出　　处：《医学临床研究》2013年第10期1971-1972,1975,共3页Journal of Clinical Research

摘　　要：【目的】分析成人肘关节骨折内固定术后异位骨化的危险因素。【方法】回顾性研究2001年10月到2010年8月本院成人肘关节骨折患者90例的临床资料，分析其手术后异住骨化的危险因素，包括骨折类型、手术方法、异位骨化发生部位、大小、肘关节功能活动度。时其结果数据采用统计软件SPSSl6分析。【结果】90例符合纳入标准，平均年龄55岁，平均随访190d。患者年龄，性别，外侧副韧带修补，肘关节内外侧双切口与异位骨化的发生率无相关性。肱骨远端骨折对异位骨化的发生有重要的预测意义。【结论】肱骨远端骨折是肘关节附近发生异位骨化的重要危险因素。[Objective] To analyze the risk factors of heterotopic ossification after internal fixation for elbow fracture in adults. [Methods] General data of 90 adult patients with elbow fracture in our hospital from Oct. 2001 to Aug. 2010 were analyzed retrospectively. Fracture type, surgical method, the site and size of heterotopic ossification and the activity of elbow joint function were recorded. SPSS software 16 was used to analyze the results. [Results] A total of 90 patients accorded with the criteria. The average age was 55 years old. The mean follow up time was 190 days. Age, gender, lateral collateral ligament repair, internal and lateral elbow dual-incision approach were not associated with the incidence of heterotopic ossification. Distal humeral fracture was important to predict the incidence of heterotopic ossification. [Conclusion]Distal humeral fracture is the risk factor of heterotopic ossification near the elbow.

关 键 词：肘关节 骨折 外科学 危险因素 骨生成 

分 类 号：R683[医药卫生—骨科学]