Morrey B F
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minn 55905.
Orthopedics. 1992 Jul;15(7):863-9. doi: 10.3928/0147-7447-19920701-12.
Loss of motion after elbow trauma is a common complication. At times, the limitation of motion may significantly impair function. Options to improve posttraumatic motion by surgery depend on whether the joint surface has been severely involved (intrinsic vs extrinsic contracture). Increasing experience with the surgical release of the posttraumatic stiff elbow has been enhanced by the use of distraction with or without interposition arthroplasty. Current experience suggests that approximately 85% of patients will be satisfactorily treated with surgical intervention.
肘部创伤后活动丧失是一种常见的并发症。有时,活动受限可能会严重损害功能。通过手术改善创伤后活动的选择取决于关节面是否严重受累(内在性与外在性挛缩)。使用或不使用间置关节成形术进行牵张,增加了创伤后僵硬肘关节手术松解的经验。目前的经验表明,约85%的患者通过手术干预可得到满意治疗。