[1]汪涛,李浩△.伤科熏洗方配合早期康复训练对桡骨头骨折术后肘关节功能的影响[J].中国中医骨伤科杂志,2022,30(12):54-57.
　WANG Tao,LI Hao.Influence of Shangke Xunxi Formula Combined with Early Rehabilitation Training on Elbow Joint Function after Radial Head Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(12):54-57.
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伤科熏洗方配合早期康复训练对桡骨头骨折术后肘关节功能的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年12期
页码:
54-57
栏目:
临床报道
出版日期:
2022-12-15

文章信息/Info

Title:
Influence of Shangke Xunxi Formula Combined with Early Rehabilitation Training on Elbow Joint Function after Radial Head Fracture
文章编号:
1005-0205(2022)12-0054-04
作者:
汪涛1; 李浩2△
1湖北中医药大学(武汉,430061) 2湖北中医药大学第一临床学院
Author(s):
WANG Tao1; LI Hao2△
1Hubei University of Traditional Chinese Medicine, Wuhan 430061,China; 2The First Clinical College of Hubei University of Traditional Chinese Medicine, Wuhan 430061,China.
关键词:
伤科熏洗方;  桡骨头骨折;  肘关节功能
Keywords:
Shangke Xunxi formula;  radial head fracture;  elbow joint function
分类号:
R683.41
文献标志码:
B
摘要:
目的:探讨在Herbert螺钉内固定基础上,伤科熏洗方配合早期康复训练对Mason Ⅲ型桡骨头骨折术后肘关节功能的影响。方法:回顾性分析自2018年1月至2020年12月收治的Mason Ⅲ型桡骨头骨折32例,所有患者均行切开复位Herbert螺钉内固定及伤科熏洗方治疗,并行早期康复训练,分析术后疼痛视觉模拟量表(VAS)评分及Broberg-Morrey肘关节评分,观察记录患者肘关节功能恢复情况。结果:32例患者均顺利完成手术,12个月随访中,骨折均获得骨性愈合,骨折愈合时间为3～6个月,均未出现内固定物松动、异位骨化、关节不稳及桡骨头坏死等并发症。末次随访Broberg-Morrey肘关节评分为(93.0±5.6)分,优良率为93.75%。结论:在Herbert螺钉内固定基础上,伤科熏洗方配合早期康复训练治疗Mason Ⅲ型桡骨头骨折疗效满意,术后可尽早进行功能锻炼,缩短康复时间,减少术后关节僵硬、疼痛及活动受限等并发症,改善患者肘关节功能。
Abstract:
Objective:To investigate the efficacy of Shangke Xunxi formula combined with early rehabilitation training on the elbow joint function after Mason type Ⅲ radial head fracture on the basis of Herbert screw internal fixation.Methods: 32 cases of Mason type Ⅲ radial head fractures treated from January 2018 to December 2020 were retrospective analyzed. All patients were treated with open reduction and internal fixation with Herbert screws, and treated with Shangke Xunxi formula. The postoperative visual analogue scale(VAS)scores and Broberg-Morrey elbow joint scores were analyzed, and the recovery of elbow joint function was observed and recorded.Results:All 32 patients successfully completed the operation. During the 12 months follow-up, the fractures achieved bony union, and the fracture healing time was 3 to 6 months. There was no internal fixation loosening, heterotopic ossification, joint instability and radial head necrosis and other complications. The Broberg-Morrey elbow joint score at the last follow-up was 93.0±5.6, and the excellent and good rate was 93.75%.Conclusion:On the basis of Herbert screw internal fixation, Shangke Xunxi formula combined with early rehabilitation training has a satisfactory efficacy on the treatment of Mason type Ⅲ radial head fracture. Functional exercise can be performed as soon as possible after operation, which can shorten the rehabilitation time, and reduce postoperative joint stiffness, pain and fatigue, limit the occurrence of complications and improve the patient's elbow function.

参考文献/References:

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备注/Memo

备注/Memo:
△通信作者 E-mail:lh365@163.com
更新日期/Last Update: 2022-12-10