Bellato Enrico, O'Driscoll Shawn W
Department of Orthopedics and Traumatology, San Luigi Gonzaga Hospital, University of Turin Medical School, Turin, Italy.
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
J Hand Surg Am. 2019 May;44(5):400-410. doi: 10.1016/j.jhsa.2018.08.001. Epub 2018 Oct 2.
Posttraumatic coronoid deficiency is one of the most challenging scenarios even for the most experienced elbow surgeon. Surgical options can be grouped into soft tissue reconstructions, autogenous corticocancellous bone graft reconstructions, osteochondral reconstructions, and prosthetic replacement. However, the literature is inconclusive with limited cases, short follow-up, and no conclusive clinical comparative studies of these techniques. This article provides a review of the current surgical options, and we offer the senior author's (S.W.O.) perspective after years of experience with many of these techniques.
即使对于最有经验的肘部外科医生来说，创伤后冠状突缺损也是最具挑战性的情况之一。手术选择可分为软组织重建、自体皮质松质骨移植重建、骨软骨重建和假体置换。然而，文献尚无定论，因为病例有限、随访时间短，且缺乏对这些技术的确切临床比较研究。本文对当前的手术选择进行了综述，并根据资深作者（S.W.O.）多年来使用这些技术的经验提供了其观点。
