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经内侧/经屈肌入路的肘关节清创关节成形术的手术技术

Surgical technique of debridement arthroplasty of the elbow through medial/trans-flexor approach.

作者信息

Shafi Mohamed, Hattori Yasunori, Doi Kazuteru

机构信息

Department of Orthopedic Surgery, Ogori Daiichi General Hospital and Yamaguchi University School of Medicine, Ogori, Yamaguchi, Japan.

出版信息

Tech Hand Up Extrem Surg. 2009 Sep;13(3):151-4. doi: 10.1097/BTH.0b013e3181ac950b.

Abstract

Debridement arthroplasty of the elbow arthritis provides good mobility and relief of pain. The operative management of elbow arthritis requires a thorough physical examination, sufficient imaging, preoperative planning, and meticulous surgical technique. The principle of the joint debridement is to remove the osteophytes, which restrict elbow motion, and to release the contracted capsule to improve joint motion and to decrease pain. Open debridement of elbow arthritis has been reported through medial, lateral, and posterior (transolecranon fossa) approaches. In this article, we describe our technique of open debridement arthroplasty of the elbow through medial/trans-flexor approach in detail.

摘要

肘关节关节炎清创成形术可提供良好的活动度并缓解疼痛。肘关节关节炎的手术治疗需要进行全面的体格检查、充分的影像学检查、术前规划以及精细的手术技巧。关节清创的原则是去除限制肘关节活动的骨赘,松解挛缩的关节囊以改善关节活动并减轻疼痛。已有通过内侧、外侧和后侧(经鹰嘴窝)入路进行肘关节关节炎切开清创的报道。在本文中,我们将详细描述通过内侧/经屈肌入路进行肘关节切开清创成形术的技术。

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