中文摘要：

目的 探讨成人肱骨远端骨折术后影响肘关节功能恢复的相关因素.方法 采用回顾性分析的方式对243例成人肱骨远端骨折患者临床资料及预后转归进行分析,采用Mayo肘关节功能评分标准评价术后6个月肘关节功能.结果 Mayo评分优71例,良102例,可54例,差16例,肘关节功能优良率为71.19%.开放性骨折、骨折至手术时间＞7 d、AO分型B和C型、神经损伤、血管损伤、合并骨折、肢体肿胀、并发症对术后肘关节恢复产生不利影响（OR均＜1,P＜0.05）,术后2周内进行早期康复锻炼有利提高术后肘关节恢复（OR=1.533,P＜0.05）.开放性骨折、AO分型C型、神经损伤不利于术后肘关节功能恢复（OR=0.719、0.706、0.728,P＜0.05）,术后早期锻炼对术后肘关节功能恢复有促进作用（OR=1.468,P＜0.05）.结论 成人肱骨远端骨折术后肘关节功能主要受到骨折损伤程度相关因素影响,术前应综合评定骨折及周围软组织损伤情况合理选择治疗方案,而早期进行运动康复锻炼有利于肘关节功能恢复.

英文摘要：

Objective To investigate the impact of adult distal humerus fracture surgery affecting factors related to functional recovery of the elbow. Methods Used retrospective analysis of 243 cases of adult manner distal humerus fractures and prognosis of clinical outcome data, were analyzed used the Mayo elbow performance score criteria to evaluate elbow function after 6 months. Results Mayo rated,71 cases were excellent, 102 cases were good,54 cases were better, and 16 cases were poor, good rate of elbow function were 71.19%. Open fractures ,fractures to the opera- tion time 〉 7 d, AO classification B and C type, nerve injury, vascular injury,bone fracture, swelling of the limbs, the postoperative complications adversely affected the recovery of elbow （OR〈I ,P〈0.05）,after 2 weeks of early postopera tive elbow rehabilitation exercises would help to promote recovery （0R=1.533, P〈0.05）.Open fractures,AO classifica- tion type C, elbow function after nerve injury were risk factors for recovery （OR =0.719,0.706,0.728 ,P〈0.05）, elbow early postoperative functional recovery after exercise was a protective factor （0R=1.468 ,P〈0.05 ）. Conclusion Adult elbow function after fracture distal humerus fractures mainly by the degree of injury-related factors, preoperative as- sessment should be integrated fractures and soft tissue injuries reasonable treatment options ,and early exercise reha- bilitation exercises help elbow functional recovery.