D'Ambrosi Riccardo, Formiconi Federica, Ursino Nicola, Rubino Maurizio
IRCCS Istituto Ortopedico Galeazzi, Milano, Italia.
BMJ Case Rep. 2019 Jul 21;12(7):e231123. doi: 10.1136/bcr-2019-231123.
We reported the case of a 38-year-old patient who in 2017 presented to our institution after post-traumatic complete ankylosis of the elbow. He complained of stiffness and pain, and the radiographs revealed complete fusion of the humeroulnar joint. The Mayo Elbow Performance Score (MEPS) on admission was 31, and the elbow was fused at 90° flexed position. The patient underwent semiconstrained total elbow arthroplasty with Bryan-Morrey approach; after a 2.1 years follow-up, active arc of movement was 120°. The MEPS was excellent with a 100 points score, the patient was able to complete all activities of daily living. We did not report any complications. Total elbow arthroplasty has shown to be a good therapeutic option that make it possible to restore adequate functional range of motion and relieve pain in young patients with post-traumatic stiffness/arthritis of the elbow.
我们报告了一例38岁患者的病例，该患者于2017年因肘部创伤后完全强直前来我院就诊。他主诉肘部僵硬和疼痛，X线片显示肱尺关节完全融合。入院时梅奥肘关节功能评分（MEPS）为31分，肘部在90°屈曲位融合。患者采用Bryan-Morrey入路接受半限制型全肘关节置换术；经过2.1年的随访，活动弧度为120°。MEPS评分为100分，结果优异，患者能够完成所有日常生活活动。我们未报告任何并发症。全肘关节置换术已被证明是一种很好的治疗选择，它能够恢复创伤后肘部僵硬/关节炎的年轻患者足够的功能活动范围并缓解疼痛。
