Lansinger O, Karlsson J, Körner L, Måre K
Arch Orthop Trauma Surg (1978). 1984;102(3):183-6. doi: 10.1007/BF00575230.
Although dislocation of the elbow is a common injury, it has been the subject of very few papers in the orthopaedic literature during the last 20 years. The recommendations for treatment have usually been conservative but in later years wider indications for surgical treatment with ligament repair have been recommended. Seventy-two patients with simple elbow dislocations (38) and fracture dislocations (34) treated at the departments of orthopaedic surgery in Göteborg 1975-1980 were reviewed. Results for patients with simple dislocations were excellent and good in 85 per cent and no difference could be recorded between those treated by surgery and those treated conservatively. Results after treatment of fracture-dislocations were generally worse and only 41 per cent achieved excellent or good results. We concluded that most simple dislocations should be treated conservatively with closed reduction followed by a short period of immobilization. In fracture-dislocations surgical repair of the elbow ligaments should be considered especially when the radial head has been excised.
尽管肘关节脱位是一种常见损伤，但在过去20年的骨科文献中，关于它的论文却非常少。以往的治疗建议通常是保守治疗，但近年来有人推荐了更广泛的韧带修复手术治疗指征。我们回顾了1975年至1980年在哥德堡骨科手术科室接受治疗的72例单纯肘关节脱位（38例）和骨折脱位（34例）患者。单纯脱位患者的治疗结果中，85%为优或良，手术治疗组和保守治疗组之间没有差异。骨折脱位患者的治疗结果总体较差，只有41%达到优或良的结果。我们得出结论，大多数单纯脱位应采用闭合复位后短期固定的保守治疗方法。对于骨折脱位，尤其是在桡骨头已被切除的情况下，应考虑对肘关节韧带进行手术修复。
