Seidman G D, Koerner P A
Department of Orthopaedic Surgery, Bridgeport Hospital, Connecticut 06610.
J Trauma. 1995 Feb;38(2):318-21. doi: 10.1097/00005373-199502000-00034.
A case report of a closed posterior elbow dislocation with brachial artery rupture treated with a reversed saphenous vein graft, fasciotomy, and medical collateral ligament (anterior oblique component) repair is presented. A literature review of 21 other similar cases is discussed. Three patients were treated with direct arterial suturing, four with ligation, four closed reductions, nine vein grafts, and two were undescribed. Early postoperative complications included anastomosis failure in two patients (9%) and thrombosis in three patients (14%). At final follow-up, 12 patients (55%) had a motor and/or sensory deficit, and 11 patients (50%) had restriction of elbow extension. Seven of these 11 patients had a loss of elbow extension of 5 to 15 degrees; the other four patients had a loss of 20 to 35 degrees.
本文报告1例闭合性肘关节后脱位合并肱动脉破裂患者，采用大隐静脉移植、筋膜切开减压术及内侧副韧带（前斜束）修复术进行治疗。同时讨论了对其他21例类似病例的文献回顾。其中3例患者接受了动脉直接缝合术，4例接受了结扎术，4例进行了闭合复位，9例进行了静脉移植，2例未作描述。术后早期并发症包括2例患者（9%）出现吻合口失败，3例患者（14%）出现血栓形成。末次随访时，12例患者（55%）存在运动和/或感觉功能障碍，11例患者（50%）存在肘关节伸展受限。这11例患者中有7例肘关节伸展丧失5至15度；另外4例患者丧失20至35度。
