Povel J A, Paffen P J, Busman D C
Aktuelle Traumatol. 1979 Oct;9(5):269-76.
Opinion is fairly unanimous on the need for surgical treatment of disclocated olecranon fractures. However, opinions differ regarding the mechanical backgrounds and practical application of the presently widely used tension wiring. The article attempts to clarify the picture of the forces involved in the humero-ulnar joint. Basing on the points of attack of these forces and on the influence of the ligamentum collaterale ulnare, the fractures are subdivided into three groups with individual demands on the respective fixation method and the permissible post-operative exercise therapy. Post-operative plaster immobilisation is not indicated in these cases.
对于肘关节后脱位骨折需要进行手术治疗这一点，意见相当一致。然而，对于目前广泛使用的张力钢丝固定的力学背景和实际应用，意见存在分歧。本文试图阐明肱尺关节所涉及的力的情况。基于这些力的作用点以及尺侧副韧带的影响，将骨折分为三组，每组对各自的固定方法和允许的术后运动疗法有不同要求。在这些病例中不建议进行术后石膏固定。
