Hierholzer G, Ludolph E
Berufsgenossenschaftliche Unfallklinik, Duisburg.
Langenbecks Arch Chir. 1988;Suppl 2:201-4.
In a collective follow-up study the results of conservative and operative treatment of luxations of the elbow joint were assessed. In all, 433 patients were followed-up; 315 of them had a ligamentous injury, 225 flake fractures. Because of the amount of soft and bone tissue damage, 241 patients were treated operatively. The functional results of these operations were good in 90% and comparable to those in patients receiving conservative treatment. This confirms that operative treatment of elbow luxations has to be recommended in cases with considerable ligamentous and bone damage.
在一项集体随访研究中,对肘关节脱位的保守治疗和手术治疗结果进行了评估。总共对433例患者进行了随访;其中315例有韧带损伤,225例有片状骨折。由于软组织和骨组织损伤程度,241例患者接受了手术治疗。这些手术的功能结果90%良好,与接受保守治疗的患者相当。这证实,对于伴有严重韧带和骨损伤的病例,推荐采用手术治疗肘关节脱位。