Lin Guang-Mao, Liu Liang-Le, Ye Li-Jie, Li Qi, Liu Mei-Fen
Department of Orthopaedics, Third Hospital Affiliated to Medical University of Wenzhou, Zhejiang, China.
Zhongguo Gu Shang. 2014 Nov;27(11):900-3.
To study therapeutic effects of comprehensive traditional Chinese medicine therapy for preventing postsurgery stiffness after operation for terrible triad of the elbow.
From December 2008 to December 2013,32 patients with elbow triad were randomly divided into two groups: therapy group and control group. There were 17 patients in control group including 12 males and 5 females with a mean age of (41.0 ± 7.1) years old. The patients in control group were received the past procedure therapy. There were 15 patients in therapy group, including 10 males and 5 females with a mean age of (41.3 ± 7.6) years old. The patients in therapy group were received comprehensive traditional Chinese medicine therapy, including passive exercise training at early stage (0 to 2 weeks after operation), transition from passive to active exercise training at middle stage (3 to 4 weeks after operation), and active exercise training at late stage (5 to 12 weeks after operation). Other treatment methods, such as orally taking or externally use of Chinese herbal medicine, manipulation and physiotherapy, were used at all stages. The Mayo Elbow Performance Score, patient satisfaction and complications were evaluated and analyzed.
All the patients were followed up, and the mean duration was 7.5 months. There were no complications such as internal fixation loosing, obvious displacement fracture and heterotopic ossification occurred. The Mayo score and patient satisfaction in therapy group were higher than those in control group (t = 12.78, P = 0.00; χ2 = 8.719, P = 0.003). Seven patients needed reoperation in control group, compared with 1 patient in therapy group (χ2 = 4.626, P = 0.032).
The comprehensive traditional Chinese medicine therapy is effective to prevent postoperative stiffness after operation for terrible triad of the elbow by using different methods at different stages, which is worthy of spread and application.
探讨中医综合疗法预防肘关节恐怖三联征术后关节僵硬的疗效。
选取2008年12月至2013年12月收治的32例肘关节恐怖三联征患者，随机分为治疗组和对照组。对照组17例，男12例，女5例，平均年龄（41.0±7.1）岁，采用既往常规治疗方法。治疗组15例，男10例，女5例，平均年龄（41.3±7.6）岁，采用中医综合疗法，包括术后早期（术后0至2周）被动运动训练、中期（术后3至4周）被动向主动运动过渡训练、后期（术后5至12周）主动运动训练，各阶段均配合中药内服、外用及手法、理疗等其他治疗方法。对两组患者的Mayo肘关节功能评分、患者满意度及并发症进行评估分析。
所有患者均获随访，平均随访时间7.5个月。两组均未出现内固定松动、骨折明显移位及异位骨化等并发症。治疗组Mayo评分及患者满意度均高于对照组（t=12.78，P=0.00；χ2=8.719，P=0.003）。对照组7例患者需再次手术，治疗组仅1例（χ2=4.626，P=0.032）。
中医综合疗法通过不同阶段采用不同方法预防肘关节恐怖三联征术后关节僵硬疗效显著，值得推广应用。
