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肘关节关节炎:当前概念

Elbow arthritis: current concepts.

作者信息

Papatheodorou Loukia K, Baratz Mark E, Sotereanos Dean G

机构信息

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Orthopaedic Specialists-UPMC, Pittsburgh, PA 15237, USA.

出版信息

J Hand Surg Am. 2013 Mar;38(3):605-13. doi: 10.1016/j.jhsa.2012.12.037. Epub 2013 Feb 5.

Abstract

Elbow arthritis is a debilitating condition manifesting as a painful, stiff elbow. The purpose of this article is to provide an update and analyze current management, treatment options, and outcomes of treatment for elbow arthritis. This article focuses on recent developments in the treatment for elbow arthritis. Nonsurgical management may provide symptomatic relief in the majority of patients in the early stages of the disease process. Surgical treatment is guided by disease etiology and severity, patient age, and functional demands. Arthroscopic or open synovectomy, debridement arthroplasty, and interposition arthroplasty are generally recommended for the young and active patient population, whereas for low-demand and elderly patients with end-stage painful arthritis, total elbow arthroplasty is considered a more suitable surgical option. Advances in arthroscopic techniques and implant design have led to substantial improvements in the treatment of elbow arthritis.

摘要

肘部关节炎是一种使人衰弱的病症,表现为肘部疼痛、僵硬。本文旨在提供最新信息,并分析肘部关节炎的当前管理、治疗选择及治疗结果。本文重点关注肘部关节炎治疗的最新进展。在疾病进程的早期阶段,非手术治疗可能会使大多数患者的症状得到缓解。手术治疗取决于疾病的病因和严重程度、患者年龄以及功能需求。对于年轻且活动较多的患者群体,一般推荐关节镜或开放性滑膜切除术、清创关节成形术和间置关节成形术;而对于需求较低且患有终末期疼痛性关节炎的老年患者,全肘关节置换术被认为是更合适的手术选择。关节镜技术和植入物设计的进步已使肘部关节炎的治疗有了显著改善。

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