Heck S, Gick S, Dargel J, Pennig D
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):114-22. doi: 10.1007/s00113-010-1929-y.
Dislocations and fracture dislocations with their typical fracture patterns may substantially affect the complex anatomy and integrity of the elbow joint. The more components of the joint are injured, the more technically demanding is the therapy. Standardized diagnostic and therapeutic algorithms help to avoid misinterpretations regarding the severity of the injury and the subsequent complications. In elbow dislocations and fracture dislocations with persistent instability the hinged external fixator is an excellent device to improve joint stability and allows physiotherapeutic assistance at an early stage.
伴有典型骨折类型的脱位及骨折脱位可能会严重影响肘关节的复杂解剖结构及其完整性。关节损伤的组成部分越多，治疗在技术上的要求就越高。标准化的诊断和治疗方案有助于避免对损伤严重程度及后续并发症的误解。对于存在持续不稳定的肘关节脱位和骨折脱位，铰链式外固定器是改善关节稳定性的极佳器械，并能在早期阶段辅助进行物理治疗。
