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肘部的手术入路

Surgical approaches to the elbow.

作者信息

Mehta Janak A, Bain Gregory I

机构信息

Royal Darwin Hospital, Flinders University-School of Medicine, Adelaide, South Australia, Australia.

出版信息

Hand Clin. 2004 Nov;20(4):375-87. doi: 10.1016/j.hcl.2004.06.002.

Abstract

Success in elbow surgery depends on a thorough understanding of its anatomy and the access to its various compartments and components.This article has reviewed the current applied surgical anatomy of the elbow and the related surgical approaches. For acute elbow injuries the Global approach is preferred, because this incorporates a posterior skin incision to expose the medial and lateral sides of the joint. The "Z"arthrotomy algorithm avoids PLRI when exposing the lateral joint capsule. The acute distal biceps tendon avulsion can be repaired with a minimally invasive anterior approach.

摘要

肘部手术的成功取决于对其解剖结构以及各个腔室和组成部分的全面了解。本文回顾了当前应用的肘部手术解剖学及相关手术入路。对于急性肘部损伤,首选整体入路,因为这包括一个后皮肤切口以暴露关节的内侧和外侧。“Z”形关节切开术式在暴露外侧关节囊时可避免桡骨小头后外侧旋转不稳定。急性肱二头肌远端肌腱撕脱可通过微创前路进行修复。

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