Damert H-G, Altmann S, Schneider W
Klinik für Plastische, Asthetische und Handchirurgie, Universitätskrankenhaus Magdeburg, Leipziger Strasse 44, 39120 Magdeburg.
Chirurg. 2009 May;80(5):448, 450-4. doi: 10.1007/s00104-008-1586-7.
Olecranon bursitis has a high prevalence and is commonly treated conservatively. However, in case of bacterial infection and open injuries with chronic courses, surgery is indicated. Despite high surgical standards, soft-tissue defects cannot always be avoided in primary surgery for infectious olecranon bursitis. For complicated courses with persisting defects, standardized closing procedures are available. For maintaining adequate elbow function and avoiding long disease progression, definite closure of the defect should be achieved. Various treatment options exist: VAC therapy and local, island, distant, and free flaps. Between 1996 and 2007, 12 Patients with complicated olecranon bursitis were treated in our institution. Of them, 11 received surgery. In complicated courses of olecranon bursitis with soft-tissue defects, fistulas, or recurrent wound healing disorders, there are several procedures for plastic covering of the elbow.
鹰嘴滑囊炎发病率高，通常采用保守治疗。然而，对于细菌感染和病程较长的开放性损伤，需进行手术治疗。尽管手术标准很高，但在感染性鹰嘴滑囊炎的一期手术中，软组织缺损并非总能避免。对于伴有持续缺损的复杂病程，有标准化的闭合程序。为维持肘关节的充分功能并避免病程延长，应实现缺损的确定性闭合。存在多种治疗选择：负压封闭引流（VAC）疗法以及局部皮瓣、岛状皮瓣、远位皮瓣和游离皮瓣。1996年至2007年期间，我院共治疗了12例复杂鹰嘴滑囊炎患者。其中11例接受了手术。在伴有软组织缺损、瘘管或伤口愈合反复障碍的复杂鹰嘴滑囊炎病程中，有多种用于肘部整形覆盖的手术方法。
