Artikel
Comparative effectiveness research between home-based and inpatient rehabilitation for the postoperative patients of complex elbow fracture-dislocation
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Autoren
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Na Yang
- Honghui Hospital, Xian Jiaotong University, Xi'an, China
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Zhe Song
- Honghui Hospital, Xian Jiaotong University, Xi'an, China
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Kun Zhang
- Honghui Hospital, Xian Jiaotong University, Xi'an, China
| Veröffentlicht: | 23. Oktober 2023 |
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Gliederung
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Objectives: Complex elbow fracture-dislocation is a rare elbow combination which consists of the elbow dislocation, fractures in the radial head and proximal ulna. As the term indicates, outcomes of this combined injury have been traditionally poor due to deficient fracture fixation, consequent joint stiffness, instability and/or arthrosis. This study is to compare the rehabilitation efficacy between home-based and inpatient rehabilitation for the postoperative patients of complex elbow fracture-dislocation.
Methods: A retrospective study was conducted on 56 patients who had been operated for the complex elbow fracture-dislocation from January 2016 to January 2020.They were 23 males and 33 females, 18 to 53 years of age (mean,34.8 years). Injury Causes: fall injury in 38 cases, high-falling injury in 12 cases, traffic injury in 6 cases. All the patients underwent surgical treatments, and performed to repair the fracture of the proximal ulnar, the fracture of radial head, and the lateral collateral ligamentous complex from the deep layer to superficial layer in turn. The group of home-based rehabilitation (31 patients) were equipped with an adjustable brace postoperatively and performed the early function rehabilitation of elbow joint at home. The group of inpatient rehabilitation (25 patients) were received the standard rehabilitation of elbow joint under the guidance of the therapists.
Results: 56 patients were followed up for 18 to 24 months (mean, 20.2 months). All patients got the healing of bony and ligamentous structures. The elbow function were evaluated with the MEPS (55～100) at the last follow-up. The average MEPS of home-based group was 82.6: excellent in 14 cases, good in 11, fair in 3 and poor in 3, giving an excellent to good rate of 80.6％. The average MEPS of inpatient group was 91.8: excellent in 15 cases, good in 8, fair in 1 and poor in 1, giving an excellent to good rate of 92.0％.
Conclusion: The elbow function of inpatient group was more satisfactory than the home-based group in our study. Therefore, the patients of complex elbow fracture-dislocation must be timely to perform the professional rehabilitation.
