Stein H, Dickson R A, Bentley G
Ann Rheum Dis. 1975 Oct;34(5):403-8. doi: 10.1136/ard.34.5.403.
Thirty-two rheumatoid elbow joints in 25 patients which had undergone synovectomy and excision of the radial head have been studied from the point of view of pattern of joint involvement and the efficacy of surgery. In this group of patients there was a significant trend towards affection of proximal joints occurring earlier in the course of the disease than distal joints. There was a high incidence of involvement of wrist and knee. There was a positive relationship between dominance and the elbow affected. Pain diminished in all cases after surgery, and there was a significant improvement in hinge movement but no significant improvement in range of forearm rotation though it was less painful. Single lateral approach gave satisfactory exposure and is favoured. Complciations of the procedure were few.
对25例患者的32个类风湿性肘关节进行了研究，这些患者均接受了滑膜切除术和桡骨头切除术，研究内容包括关节受累模式和手术疗效。在这组患者中，疾病进程中近端关节受累比远端关节更早出现的趋势明显。腕关节和膝关节受累的发生率很高。优势侧与受累肘关节之间存在正相关关系。术后所有病例的疼痛均减轻，铰链运动有显著改善，但前臂旋转范围虽疼痛减轻但无显著改善。单一外侧入路暴露满意，值得推荐。该手术的并发症较少。
