【摘要】 目的:探讨肘关节恐怖三联征采用中西医结合治疗的临床效果。方法:本次选取的20例肘关节恐怖三联征病例,均为我院骨科于2009年5月-2014年5月收治,在积极开展手术治疗的同时,辅助应用中医方案治疗,回顾临床资料。结果:平均随访18个月,无感染,切口均一期愈合,内固定无断裂或松脱。骨折在术后10~18周达临床愈合,肘关节活动屈伸在术后6个月时,为(111±10)度,前臂呈(110±11)度旋转。依据功能评定标准,本组优9例,占45%;良6例,占30%;可3例,占15%;差2例,占10%。关节僵硬2例,无复发性肘关节脱位等不良事件发生。结论:肘关节恐怖三联征使肘关节内在稳定性破坏,创伤性关节炎和复发性不稳定率增加,手术治疗可使稳定性增强,对同心圆复位维持,为早期功能锻炼提供基础,与中药结合应用,可获得理想的临床效果。更多还原

【Abstract】 Objective: To investigate clinical effects of integrative medicine on terrible triad of the elbow. Methods: 20 patients with terrible triad of the elbow were selected to receive surgical treatment and TCM therapy. Clinical data was analyzed. Results: Mean follow-up time was 18 months, there was no infection; all incision was healed, and there was no fracture or loosening of internal fixation. After the surgery, and in 10~18 weeks,fracture was healing. In 6 months, range of motion of the elbow could be up to(111 ± 10) degrees, forearm could be rotate to(110 ± 11) degrees. According to the functionality evaluation criteria to judge the efficacy in this group, 9 cases was excellent, accounted for 45%; 6 cases had good efficacy, accounted for 30%; 3 cases was better, accounted for 15%; 2 cases were lower effective, accounted for 10%.There were 2 cases of joint stiffness, and no recurrent elbow dislocation and other adverse events. Conclusion: Terrible triad of the elbow injured the inherent stability of the elbow joint, increased the recurrence of traumatic arthritis, surgery plus TCM could enhance the stability, and obtained ideal clinical efficacy.更多还原