Pennig D, Heck S, Gick S
Klinik für Unfallchirurgie/Orthopädie, Hand- und Wiederherstellungschirurgie, St. Vinzenz-Hospital Köln, Akademisches Lehrkrankenhaus der Universität zu Köln, Merheimer Straße 221-223, 50733, Köln, Deutschland.
Unfallchirurg. 2011 Feb;114(2):95-104. doi: 10.1007/s00113-010-1931-4.
Elbow stiffness may result from trauma, burns and head injuries. It is defined as a total range of motion of <100° with no relevant loss of forearm rotation. Of particular relevance is the flexion deficit. A detailed analysis regarding the development of the elbow stiffness is required together with an exact diagnosis in order to plan the surgical intervention. Closed distraction of the elbow joint as arthrodiatasis with an external fixator is described and evaluated. Adequate long-term results can be achieved with this technique, which reflects proper selection of patients as well as coordination between surgeon, aftercare and physiotherapist. Contraindications are poor compliance, poorly controlled diabetes mellitus, active hepatitis B and C infection, HIV infection and acute articular infection.
肘关节僵硬可能由创伤、烧伤和头部损伤引起。它被定义为总活动范围小于100°且前臂旋转无相关损失。特别相关的是屈曲功能障碍。为了规划手术干预，需要对肘关节僵硬的发展进行详细分析并做出准确诊断。本文描述并评估了使用外固定器进行肘关节闭合牵张术（关节扩张术）。采用该技术可获得良好的长期效果，这体现了患者的正确选择以及外科医生、术后护理人员和物理治疗师之间的协作。禁忌证包括依从性差、糖尿病控制不佳、活动性乙型和丙型肝炎感染、HIV感染以及急性关节感染。
