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[肘关节松解术与关节成形术。儿童与成人手术结果的比较]

[Arthrolysis and arthroplasty of the elbow joint. A comparison of surgical results between children and adults].

作者信息

Kaps H P, Schmidt E

机构信息

Stiftung Orthopädische Universitätsklinik Heidelberg.

出版信息

Z Orthop Ihre Grenzgeb. 1993 Jul-Aug;131(4):335-9. doi: 10.1055/s-2008-1040035.

Abstract

Because of stiffness of the elbow joint until 1988 146 operations have been done in 132 patients on the Department of Orthopaedic Surgery in Heidelberg. 55 procedures have been done in children and adolescents younger than 16 years, 91 times in adults. In both groups posttraumatic stiffness and stiffness of other origin have been treated. Procedures have been mobilisation in anesthesia, simple or enlarged arthrolysis as well as arthroplasties. Results have been evaluated by the method of Cauchoix and Deburge (relative gain of range of movement). In nontraumatic stiffness of the elbow younger patients under the age of 16 years showed better results than the adults, in posttraumatics the results seemed to be better in the adults. Mere mobilisation in anesthesia showed disappointing results in both groups generally.

摘要

直到1988年,由于肘关节僵硬,海德堡矫形外科对132名患者进行了146次手术。16岁以下的儿童和青少年进行了55次手术,成人进行了91次手术。两组均对创伤后僵硬和其他原因引起的僵硬进行了治疗。手术方法包括麻醉下活动、单纯或扩大关节松解以及关节成形术。采用Cauchoix和Deburge的方法(活动范围的相对增加)对结果进行评估。在非创伤性肘关节僵硬中,16岁以下的年轻患者比成年人效果更好;在创伤后僵硬中,成年人的效果似乎更好。一般来说,单纯的麻醉下活动在两组中都显示出令人失望的结果。

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