Vancabeke M, Lamraski G, Berthe J V, Coessens B C
Department of Orthopedic Surgery, Brugmann University Hospital, Place Van Gehuchten 4, 1020 Brussels, Belgium.
Acta Orthop Belg. 2002 Oct;68(4):392-5.
We report a case of severe posttraumatic ankylosis of the elbow with chronic osteomyelitis of the lateral condyle of the humerus. The triple problem of restoring elbow mobility, providing for coverage, and controlling infection was treated in a one-stage procedure. A distally planned fasciocutaneous lateral arm flap was used for elbow interposition arthroplasty. Clinical examination at 27 months showed restoration of a useful range of elbow motion and good pain relief.
我们报告了一例肘部严重创伤后强直合并肱骨外侧髁慢性骨髓炎的病例。通过一期手术解决了恢复肘关节活动度、提供覆盖以及控制感染这三个难题。采用远端蒂的臂外侧筋膜皮瓣进行肘关节间置关节成形术。术后27个月的临床检查显示肘关节活动度恢复良好且疼痛明显缓解。