Department of Surgery and Traumatology, Westfriesgasthuis, Maelsonstraat 3, 1624 NP, Hoorn, The Netherlands.
Arch Orthop Trauma Surg. 2010 Feb;130(2):241-9. doi: 10.1007/s00402-009-0866-0. Epub 2009 Apr 2.
To identify if functional treatment is the best available treatment for simple elbow dislocations.
Electronic databases MEDLINE, EMBASE, LILACS, and the Cochrane Central Register of Controlled Trials.
Studies were eligible for inclusion if they were trials comparing different techniques for the treatment of simple elbow dislocations.
Results were expressed as relative risk for dichotomous outcomes and weighted mean difference for continuous outcomes with 95% confidence intervals.
This review has included data from two trials and three observational comparative studies. Important data were missing from three observational comparative studies and the results from these studies were extracted for this review. No difference was found between surgical treatment of the collateral ligaments and plaster immobilisation of the elbow joint. Better range of movement, less pain, better functional scores, shorter disability and shorter treatment time were seen after functional treatment versus plaster immobilisation.
确定功能治疗是否为简单肘关节脱位的最佳治疗方法。
电子数据库 MEDLINE、EMBASE、LILACS 和 Cochrane 对照试验中心注册库。
如果研究比较了治疗简单肘关节脱位的不同技术，则有资格纳入研究。
结果以二分类结局的相对风险和连续结局的加权均数差表示，置信区间为 95%。
本综述纳入了两项试验和三项观察性比较研究的数据。三项观察性比较研究的数据缺失严重，这些研究的结果被提取出来用于本综述。手术治疗侧副韧带与肘关节石膏固定之间无差异。与石膏固定相比，功能治疗后活动范围更大、疼痛更少、功能评分更好、残疾时间更短、治疗时间更短。
