Siebenlist S, Braun K F
Abteilung und Poliklinik für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.
Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Unfallchirurg. 2017 Jul;120(7):595-610. doi: 10.1007/s00113-017-0373-7.
The treatment of complex elbow dislocation fractures is a challenge to both the treating surgeon as well as to the patient due to the complex bony and soft tissue anatomy of the joint. In order to establish an expedient treatment algorithm, all osseous and ligamentous injuries need to be thoroughly assessed. Furthermore, a detailed knowledge of the joint-stabilizing structures, practicable surgical approaches as well as the possible techniques for fracture fixation and/or arthroplasty are essential to facilitate early rehabilitation of the elbow and avoid injury-related complications. Any unnecessary delay in treatment of this complex injury can result in posttraumatic functional disorders, recurrent instability and secondary arthrosis. In conclusion, the goals of surgical treatment must be the correct restoration of the joint anatomy and stability as the prerequisites for any successful treatment of elbow fracture dislocations in order to enable early motion of the joint.
由于肘关节复杂的骨骼和软组织解剖结构，复杂肘关节脱位骨折的治疗对治疗外科医生和患者来说都是一项挑战。为了建立一种便捷的治疗方案，所有的骨与韧带损伤都需要进行全面评估。此外，详细了解关节稳定结构、可行的手术入路以及骨折固定和/或关节成形术的可能技术，对于促进肘关节早期康复和避免损伤相关并发症至关重要。对这种复杂损伤的治疗出现任何不必要的延迟都可能导致创伤后功能障碍、复发性不稳定和继发性关节病。总之，手术治疗的目标必须是正确恢复关节解剖结构和稳定性，这是成功治疗肘关节骨折脱位的前提条件，以便实现关节的早期活动。
