King G J, Faber K J
Department of Surgery, University of Western Ontario, Hand and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario, Canada.
Orthop Clin North Am. 2000 Jan;31(1):129-43. doi: 10.1016/s0030-5898(05)70133-4.
This article outlines the nonoperative and operative treatment of posttraumatic elbow contractures. Elbow stiffness is a significant cause of disability because it results in the inability to position the hand in space. Initial treatment should be nonoperative, consisting of splinting and physical therapy. Established elbow contractures that interfere with a patient's vocation or avocations can be treated operatively by either open or arthroscopic release. The surgical release of posttraumatic elbow contractures is rewarding, with a high incidence of success and a reasonable risk of complications.
本文概述了创伤后肘关节挛缩的非手术和手术治疗。肘关节僵硬是导致残疾的一个重要原因，因为它会导致手无法在空间中定位。初始治疗应采用非手术方法，包括夹板固定和物理治疗。已形成的影响患者职业或业余爱好的肘关节挛缩可通过开放或关节镜下松解进行手术治疗。创伤后肘关节挛缩的手术松解效果良好，成功率高，并发症风险合理。
