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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Preliminary clinical experience with hyaluronan anti-adhesion gel in arthroscopic arthrolysis for posttraumatic elbow stiffness
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Preliminary clinical experience with hyaluronan anti-adhesion gel in arthroscopic arthrolysis for posttraumatic elbow stiffness

机译：透明质酸抗粘连凝胶在关节镜下进行关节外伤后肘关节僵硬的初步临床经验

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class="Heading">Background class="Para">Loss of motion of the elbow joint is a common finding after elbow trauma. It has been shown that arthroscopic treatment leads to excellent restoration of elbow motion, although it is still a demanding procedure. The aim of our cohort study was to assess clinical outcomes following treatment of posttraumatic elbow stiffness using arthroscopic arthrolysis with or without the associated use of a hyaluronan anti-adhesion gel. class="Heading">Materials and methods class="Para">A cohort of 36 consecutive patients undergoing elbow arthroscopic arthrolysis were enrolled: 17 patients in the hyaluronan gel group and 19 in the control group. The patients underwent prospective control visits 30 and 75?days after surgery. Functional outcome was measured by the range of motion and the Liverpool elbow score (LES), whereas pain and quality of life were evaluated using the visual analogue scale and the SF-36 questionnaire, respectively. class="Heading">Results class="Para">The range of motion and the overall LES score increased over time in both groups. The mean increase over time was statistically significant (p??0.001) in both groups and there was no difference between the groups. There was also no interaction between time and treatment. The percentage of patients who reported pain decreased significantly over time (p?=?0.0419) in the hyaluronan-treated group (suggesting limited contractions and better comfort during rehabilitation), but not in the control group. The intensity of pain decreased significantly over time in both groups (p??0.0001) without any significant difference between the groups. All the changes in patient quality of life as measured by the SF-36 questionnaire were similar for the two groups of patients. No adverse event or complication related to the application of hyaluronan gel occurred. class="Heading">Conclusions class="Para">Our preliminary clinical experience showed promising results upon the use of hyaluronan gel, considering that it significantly reduced pain in the short term, facilitating a more comfortable rehabilitation. These findings should be confirmed by larger studies.
机译：class =“ Heading”>背景 class =“ Para”>肘关节运动丧失是肘部创伤后的常见发现。已经表明，尽管仍然需要进行手术，但是关节镜治疗可以使肘关节运动恢复良好。我们这项队列研究的目的是评估关节镜下使用或不结合使用透明质酸抗粘连凝胶的关节镜关节置换术治疗肘关节僵硬后的临床结果。 class =“ Heading”>材料和方法< / h3> class =“ Para”>纳入了连续36例接受肘关节镜下关节溶解术的患者：透明质酸凝胶组17例，对照组19例。术后30和75天对患者进行前瞻性对照访视。功能结果通过运动范围和利物浦肘关节评分（LES）进行衡量，而疼痛和生活质量分别通过视觉模拟量表和SF-36问卷进行评估。 class =“ Heading “>结果 class =” Para“>两组的运动范围和整体LES得分均随时间增加。两组的平均随时间的增加是统计学显着的（ p ？<？0.001），并且两组之间没有差异。时间和治疗之间也没有相互作用。在透明质酸治疗组中，随着时间的流逝，报告疼痛的患者百分比显着下降（ p ？=？0.0419）（建议有限的收缩和康复期间的舒适度）。对照组。两组的疼痛强度随时间显着降低（ p ？<？0.0001），两组之间无显着差异。 SF-36问卷所测量的患者生活质量的所有变化在两组患者中相似。没有发生与透明质酸凝胶应用有关的不良事件或并发症。 class =“ Heading”>结论 class =“ Para”>我们的初步临床经验表明，使用透明质酸凝胶后透明质酸凝胶，考虑到它可以在短期内显着减轻疼痛，促进更舒适的康复。这些发现应通过更大的研究加以证实。

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