外侧柱入路肘关节松解术治疗肘关节僵硬的应用疗效研究  

Application of lateral column approach elbow joint release in the treatment of elbow joint stiffness

作　　者：杨志超 刘洋[2] 李文伟 魏明 赵靖 沈先月 黄威 Yang Zhichao;Liu Yang;Li Wenwei;Wei Ming;Zhao Jing;Shen Xianyue;Huang Wei(Bengbu Medical University,Bengbu Anhui,233000;Department of Joint Surgery,The First Affiliated Hospital of USTC(Anhui Provincial Hospital),Hefei Anhui,230001,China)

机构地区：[1]蚌埠医科大学,安徽蚌埠233000 [2]中国科学技术大学附属第一医院(安徽省立医院)关节外科,安徽合肥230001

出　　处：《生物骨科材料与临床研究》2024年第1期37-40,共4页Orthopaedic Biomechanics Materials and Clinical Study

基　　金：安徽省重点研究与开发计划基金项目(2023s07020008);安徽省自然科学基金项目(2008085MH247)。

摘　　要：目的探究外侧柱入路手术松解治疗肘关节僵硬的应用及早期临床疗效。方法回顾性分析中国科学技术大学附属第一医院(安徽省立医院)关节外科2022年2月至2023年6月采用外侧柱入路肘关节松解术治疗肘关节僵硬患者的临床资料21例。其中,男15例,女6例;年龄12~61岁,平均(49.4±13.0)岁。采用Mayo肘关节功能(Mayo elbow performance score,MEPS)评分、肘关节活动度(range of motion,ROM)的变化及疼痛视觉模拟评分(visual analogue scale,VAS)对临床治疗效果进行评估。结果术后21例患者均获得随访,随访时间为3~16个月,平均(9.3±3.1)个月,患者的手术时间为39~155 min,平均(84.2±25.5)min,住院时间为3~16 d,平均(8.8±3.0)d,术中无血管、神经损伤。末次随访时所有患者肘关节MEPS评分、肘关节ROM的变化及VAS评分与术前相比均获得显著变化,差异存在统计学意义(P<0.05)。结论采用外侧柱入路肘关节松解术治疗肘关节僵硬可显著改善早期肘关节功能及活动度,为肘关节僵硬患者的手术治疗提供了一种安全且有效的术式选择。Objective To explore the application and early clinical effect of lateral column approach in the treatment of elbow joint stiffness.Methods The clinical data of 21 patients with elbow joint stiffness treated by lateral column approach in the department of joint surgery of the First Affiliated Hospital of USTC(Anhui Provincial Hospital)from February 2022 to June 2023 were retrospectively analyzed.A total of 21 patients were included in the study,of which 15 were male and 6 were female.The age of the participants ranged from 12 to 61 years,with a mean age of(49.4±13.0)years.The Mayo Elbow Performance Score(MEPS),elbow range of motion(ROM),and visual analog scale(VAS)were used to evaluate clinical management.Results The 21 patients were followed up for a duration of 3 to 16 months,with an average follow-up period of(9.3±3.1)months.The operation time ranged from 39 to 155 minutes,with a mean of(84.2±25.5)minutes.The hospital stay ranged from 3 to 16 days,with a mean of(8.8±3.0)days.There was no vascular or nerve injury during surgery.At the last follow-up,the changes of elbow MEPS score,elbow ROM and VAS score of all patients were significantly changed compared with those before surgery,with statistical significance(P<0.05).Conclusion Elbow joint release with lateral column approach can significantly improve the early elbow joint function and range of motion,providing a safe and effective surgical option for patients with elbow joint stiffness.

关 键 词：外侧柱入路 肘关节僵硬 肘关节松解术 

分 类 号：R684[医药卫生—骨科学]