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首页> 外文期刊>Injury >Simple elbow dislocation among adults: A comparative study of two different methods of treatment.
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Simple elbow dislocation among adults: A comparative study of two different methods of treatment.

机译:成人中简单的肘关节脱位:两种不同治疗方法的比较研究。

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摘要

Post-manipulation treatment of elbow dislocation includes plaster of Paris immobilisation for a mean of 2 weeks followed by physiotherapy, or sling support followed by early mobilisation. This study retrospectively reviewed 42 simple elbow dislocations. The management of 20 patients by the plaster of Paris method and 22 by the sling method was assessed after a minimum follow-up of 2 years using Mayo Elbow Performance Index (MEPI) scores, the Quick Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and time off work. The final functional outcome in the plaster of Paris group showed 10 excellent, 2 good, 5 fair and 3 poor results, compared with 19 excellent, 1 good and 2 fair results in the sling group. The mean times to return to work in plaster of Paris group and sling group were 6.6 and 3.2 weeks, respectively (p<0.001). Early mobilisation did not result in redislocation or late instability of the elbow. Thus the final functional outcome of the sling and early mobilisation group was significantly better than in the plaster of Paris immobilisation group.
机译:肘关节脱位的手术后治疗包括巴黎固定石膏平均2周,然后进行理疗,或悬吊带支撑,然后早期动员。这项研究回顾性回顾了42例简单的肘关节脱位。在至少2年的随访中,使用梅奥肘部性能指数(MEPI)评分,手臂,肩膀和手的快速残疾(DASH)对至少20年采用Paris方法的石膏和22例悬吊方法的患者进行了评估。 )问卷和休假时间。巴黎组的石膏的最终功能结果显示10个优,2个好,5个一般和3个差的结果,而悬带组则为19个优,1个好和2个一般的结果。巴黎组和吊索组的石膏平均返工时间分别为6.6周和3.2周(p <0.001)。尽早动员不会导致肘关节再分配或晚期不稳定。因此,吊带和早期动员组的最终功能结局明显优于巴黎固定组的石膏。

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