Athwal George S, Rispoli Damian M, Steinmann Scott P
Hand and Upper Limb Centre, St Joseph's Health Care, University of Western Ontario, London, ON, Canada.
J Orthop Trauma. 2006 Apr;20(4):282-5. doi: 10.1097/00005131-200604000-00009.
The transolecranon approach for the treatment of distal humerus fractures and nonunions is commonly used. A complication of the standard osteotomy is denervation of the anconeus muscle, which provides dynamic stability to the lateral side of the elbow by preventing varus and posterolateral rotatory instability. This article describes the anconeus flap transolecranon (AFT) approach, which utilizes an internervous plane to preserve the anconeus muscle and a chevron-shaped osteotomy for maximal joint exposure. The approach is straightforward to perform with limited complications.
经鹰嘴入路治疗肱骨远端骨折和骨不连是常用的方法。标准截骨术的一个并发症是尺骨鹰嘴肌去神经支配，该肌肉通过防止内翻和后外侧旋转不稳定为肘关节外侧提供动态稳定性。本文描述了经鹰嘴尺骨鹰嘴肌瓣（AFT）入路，该入路利用神经间平面保留尺骨鹰嘴肌，并采用人字形截骨术以实现最大程度的关节暴露。该入路操作简单，并发症有限。
