基于Ilizarov技术原理矫正器在矫正肘关节屈伸挛缩畸形中的临床应用  

Clinical application of a new deformity correction device based on Ilizarov technique for flexion and extension contracture of elbow

作　　者：秦大平[1,2] 张晓刚[2] 宋敏[1] 蒋宜伟[1] 高国栋[2] 郭小荣[2] 郭成龙[2] 武生智[3] 赵少俊[4] 宋贵杰[1] 

机构地区：[1]甘肃中医学院中医临床学院,兰州730000 [2]甘肃中医学院附属医院脊柱外科,兰州730000 [3]兰州大学土木工程与力学学院,兰州730000 [4]兰州理工大学土木工程学院综合实验中心,兰州730000

出　　处：《医用生物力学》2014年第4期377-381,共5页Journal of Medical Biomechanics

基　　金：甘肃省卫生厅科研基金项目(GSWST2011-20);甘肃省教育厅科研项目(1206-06);甘肃中医学院2010级研究生创新基金项目(CX2012-07)

摘　　要：目的基于Ilizarov技术原理,设计具有主动矫形力、符合生物力学原理的肘关节矫正器,并研究其临床疗效。方法将44例创伤后肘关节功能障碍的患者随机分为2组,其中对照组22例给予连续被动运动(continuous positive motion,CPM)治疗,治疗组22例给予肘关节矫正器治疗;所有患者均在治疗3个月后评定治疗前、后肘关节的功能恢复程度。结果治疗组患者肘关节屈伸范围均明显优于对照组,有效率为90.91%,明显优于对照组的有效率(81.82%)。结论本文设计的肘关节矫正器在创伤后肘关节功能障碍康复中有较好的治疗作用,值得临床进一步推广应用。Objective To design a new correction device for elbow deformity with active orthopedic force based on Ilizarov technique, and discuss its curative effect on elbow orthotics in clinic. Methods A total of 44 patients with elbow joint dysfunction were randomly divided into treatment group （ n =22） and control group （ n =22）, and trea- ted with new deformity orthotic device and continuous positive motion, respectively. The functional recovery of the elbow joint for patients in two groups was evaluated after 3-month treatment. Results The range of motion （ROM） of elbow flexion-extension in treatment group was significantly larger than that in control group, and the effective rate for treatment group and control group was 90.91% and 81.82%, respectively. Conclusions The use of such correction device for elbow deformity showed good curative effect for treating elbow joint dysfunction,which is worth popularization and application in clinic.

关 键 词：Ilizarov技术原理 矫正器 康复 创伤 肘关节功能障碍 

分 类 号：R318.01[医药卫生—生物医学工程]