组织工程与重建外科杂志 ›› 2022, Vol. 18 ›› Issue (2): 144-.

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先天性多发手部关节挛缩支具治疗的临床评价

  

  • 出版日期:2022-04-01 发布日期:2022-06-22

  • Clinical evaluation of braces in the treatment of congenital multiple hand joint contractures 

  • Online:2022-04-01 Published:2022-06-22

摘要:  目的 探讨先天性多发手部关节挛缩的分类方式及支具治疗的临床效果。方法 自2015年1月至2021年1月,共诊治80例先天性多发手部关节挛缩患者,将患者按不同病理解剖特点分为6类,并且按照不同的分类情况进行相应的支具治疗。平均2个月随访一次,评估治疗后患指的主、被动屈伸关节活动度。结果 对患者进行跟踪随访,时间12~24个月。患指治疗效果评价总体优良率达86.3%。结论 根据所分类的方法对不同类型的患者采取支具辅助治疗,能够使先天性多发手部关节挛缩患者获得良好的治疗效果,减少并发症的出现。

关键词: 手畸形,  先天性,  支具治疗,  多发手部关节挛缩

Abstract: Objective To investigate the classification of congenital multiple arthrocontracture of hand and the clinical effects of brace interventional treatment. Methods From January 2015 to January 2021, a total of 80 patients with congenital multiple arthrocontracture were enrolled. The patients were divided into 6 categories according to different pathological and anatomical characteristics, and were treated with corresponding braces according to different classification. The range of motion of the active and passive flexion and extension joints of the affected finger was assessed, and the mean follow-up was conducted once every 2 months. Results The patients were followed up for 12 to 24 months. The overall excellent and good rate was 86.3%. Conclusion According to the methods classified in this paper, brace interventional therapy for patients with different types of congenital multiple hand arthrocontracture can achieve better therapeutic effects and reduce the occurrence of complications.

Key words: Hand deformities; Congenital; Brace treatment, Multiplex hand arthocontracture