Continuing Orthopedic Veterinary Education, Moorpark, CA 93021, USA.
MedVet Medical and Cancer Centers for Pets, Columbus, 8155 Markhaven Drive, Columbus, OH 43235, USA.
Vet Clin North Am Small Anim Pract. 2021 Mar;51(2):475-515. doi: 10.1016/j.cvsm.2020.12.008.
Erosion of the articular cartilage of the medial compartment of the elbow (the humeroulnar articulation) secondary to incongruency associated with elbow dysplasia or traumatic injury has been termed, medial compartment disease. When nonsurgical strategies to manage osteoarthritis (OA) fail, surgical solutions may be warranted. Surgical strategies reduce pain through off-loading of the medial compartment by load-shifting osteotomies of the humerus or ulna. Other strategies involve replacement of portions or all of the articular surface of the medial compartment. With global elbow joint OA (medial and lateral compartment), a total elbow replacement may be required.
由于肘发育不良或创伤性损伤引起的不匹配导致的肘部关节软骨内侧腔室(肱尺关节)的侵蚀,已被称为内侧腔室疾病。当管理骨关节炎 (OA) 的非手术策略失败时,可能需要手术解决方案。手术策略通过肱骨或尺骨的负荷转移截骨术来减轻内侧腔室的负荷,从而减轻疼痛。其他策略包括替换内侧腔室的部分或全部关节表面。对于全球肘部关节 OA(内侧和外侧腔室),可能需要进行全肘置换。