Seth M K, Khurana J K
J Bone Joint Surg Br. 1985 Nov;67(5):747-9. doi: 10.1302/0301-620X.67B5.4055874.
Ten patients with 13 ankylosed elbows after burns are described. Six elbows, fixed in nearly full extension, had almost total functional disability; the other seven had varying amounts of deformity. In five of the 13 elbows there was a continuous bony mass with loss of the joint space; these were treated by a modified excision arthroplasty which restored good movement and useful function, though there was some lateral laxity. Six elbows had a posterior bony block; this was excised, which restored a useful arc of movement. The literature on bony ankylosis after burns is reviewed and the management of these cases in a developing country is described.
本文描述了10例烧伤后出现13个肘关节强直的患者。6个固定于近伸直位的肘关节几乎完全丧失功能；另外7个有不同程度的畸形。13个肘关节中有5个出现连续骨块且关节间隙消失；对这些肘关节采用改良切除关节成形术进行治疗，术后虽有一定程度的侧方松弛，但恢复了良好的活动度和有用的功能。6个肘关节存在后方骨块；将其切除后恢复了有用的活动弧度。本文回顾了烧伤后骨强直的相关文献，并描述了在发展中国家对这些病例的处理方法。
