Martini M, Gottesman H, Martini-Benkeddache Y, Daoud A
Rev Chir Orthop Reparatrice Appar Mot. 1977 Sep;63(6):539-44.
The authors have applied conservative treatment in 21 cases of tuberculosis of the elbow with 12 months of specific chemotherapy and antibiotics and plaster immobilization for 3 montths followed by rehabilitation. Four elbows were ankylosed at the end of treatment. Seventeen elbows had useful joint mobility. In thirteen cases, there was more than 70 degrees of movement in flexion but the results were not so satisfactory as regards pronation and supination. The authors believe that conservative management gives better results than surgery by arthrodesis or resection.
作者对21例肘关节结核患者采用了保守治疗，进行了12个月的特异性化疗和抗生素治疗，并石膏固定3个月，随后进行康复治疗。治疗结束时，有4例肘关节发生了强直。17例肘关节的关节活动功能良好。13例患者的肘关节屈曲活动度超过70度，但旋前和旋后功能的结果并不理想。作者认为，保守治疗比关节融合术或切除术等手术治疗效果更好。
