Martini M, Gottesman H
Int Orthop. 1980;4(2):83-6. doi: 10.1007/BF00271089.
The authors have used conservative treatment in 29 cases of tuberculosis of the elbow with 12 months of specific chemotherapy regim and 1--2 months of plaster immobilisation followed by rehabilitation. Seven elbows were ankylosed at the end of the period of treatment, 20 elbows had a useful range of joint movement, and 14 had more than 70 degrees of free movement. The results were not so satisfactory regarding pronation and supination. The authors believe that conservative management gives better results than classical arthrodesis or excision of the elbow joint.
作者对29例肘关节结核采用了保守治疗,采用12个月的特定化疗方案,1 - 2个月的石膏固定,随后进行康复治疗。在治疗结束时,7例肘关节强直,20例肘关节有有用的关节活动范围,14例有超过70度的自由活动。旋前和旋后的结果不太令人满意。作者认为,保守治疗比经典的关节融合术或肘关节切除术效果更好。