MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG Ở BỆNH NHÂN MẤT GẤP KHUỶU ĐƯỢC PHẪU THUẬT CHUYỂN GÂN THEO PHƯƠNG PHÁP STEINDLER

Abstract

Objectives: To study some clinical characteristics in patients with loss of elbow flexion who underwent tendon transfer surgery by Steindler Flexorplasty. Subjects and methods: All patients were fully satisfied, including 90 patients recovering elbow flexion by Steindler Flexorplasty at Military Institute of Trauma and Orthopedics, 108 Central Military Hospital. research profile. Assess the general characteristics of the patient in terms of age, gender, cause and mechanism of injury, characteristics of motor nerve damage, the strength of elbow flexor before surgery. Results: The average age of the study patients was 31.3 ± 11.4 years old, the damage of elbow flexion mainly occurred in men. The most common cause of loss of elbow flexion is damage to the motor nerve causing loss of function of the biceps and forearms due to traffic accidents (84.4%); the main mechanism of injury was trauma, causing stretch (94.4%). Lesions mainly occur on the left side (55.6%), nerve damage detected by clinical examination alone was the main (90%), the main lesion was type II lesions (70.0%). Before surgery, the strength of the elbow flexor muscle of the study group was mainly M0 (87.7%). Conclusion: Elbow flexion injury occurs mainly in men of working age; the main cause of loss of elbow flexion was traffic accidents due to the mechanism of injury-causing stretch. Detecting loss of elbow flexion injury mainly by clinical examination, most patients were completely paralyzed before surgery.