From the Miami Orthopaedic Research Foundation, Miami, FL (Dr. Heifner), and the University of New Mexico Department of Orthopaedics and Rehabilitation, Albuquerque, NM (Dr. Mercer).
J Am Acad Orthop Surg Glob Res Rev. 2023 Sep 22;7(9). doi: 10.5435/JAAOSGlobal-D-23-00041. eCollection 2023 Sep 1.
Recent advancements in surgical treatment have improved clinical results in complex traumatic elbow injury. There is increasing recognition that conservative treatment and inadequate surgical fixation carry high risk of substantial morbidity in many of these cases. Recent literature displays improved outcomes in complex elbow instability, in part, because of a more complete comprehension of the injury patterns and fixation methods. Prompt surgical management with stable internal fixation, which permits immediate postoperative mobilization, has been a consistent variable across the reports leading to more satisfactory outcomes. This applies to both acute and chronic cases.
近年来,外科治疗的进展改善了复杂创伤性肘损伤的临床结果。越来越多的人认识到,在许多此类病例中,保守治疗和不充分的手术固定会带来很高的发病率。最近的文献显示,复杂肘不稳定的治疗效果有所改善,部分原因是对损伤模式和固定方法有了更全面的理解。及时进行稳定的内固定手术治疗,并允许术后立即进行活动,这一一致的变量贯穿各个报告,导致了更满意的结果。这既适用于急性病例,也适用于慢性病例。