Sharma S, Rymaszewski L A
Glasgow Royal Infirmary, Castle Street, Glasgow G4 0SF, UK.
J Bone Joint Surg Br. 2007 Jun;89(6):778-81. doi: 10.1302/0301-620X.89B6.18772.
We present a retrospective study of 25 patients treated by open arthrolysis of the elbow for post-traumatic stiffness. The mean follow-up was for 7.8 years (5 to 10.8). The range of movement of the elbow, pain scores and functional outcomes were recorded pre- and postoperatively. An improvement in the mean range of movement from 55 degrees (0 degrees to 95 degrees ) to 105 degrees (55 degrees to 135 degrees) was obtained in our patients at one year. This improvement was maintained over the mean follow-up period of 7.8 years (5 to 10.8). Improvement in pain, function and patient satisfaction was recorded in 23 of the 25 patients at final follow-up. On the basis of this study, we believe that the results of open arthrolysis for post-traumatic stiffness of the elbow are durable over the medium term.
我们对25例因创伤后肘关节僵硬接受开放性关节松解术治疗的患者进行了一项回顾性研究。平均随访时间为7.8年(5至10.8年)。记录了患者术前和术后的肘关节活动范围、疼痛评分和功能结果。我们的患者在术后一年时,平均活动范围从55度(0度至95度)改善至105度(55度至135度)。在平均7.8年(5至10.8年)的随访期内,这一改善得以维持。在末次随访时,25例患者中有23例的疼痛、功能及患者满意度得到改善。基于本研究,我们认为开放性关节松解术治疗创伤后肘关节僵硬的中期效果持久。