Tsuge K, Mizuseki T
Hiroshima Prefectural Rehabilitation Centre, Hiroshima University Medical School, Japan.
J Bone Joint Surg Br. 1994 Jul;76(4):641-6.
We report the technique and results of a new method of debridement arthroplasty for advanced primary osteoarthritis of the elbow. Triceps and the periosteum of the olecranon are reflected towards the ulnar side and the joint is opened by dividing the radial collateral ligament. Osteophytes are removed, the olecranon and coronoid fossae are deepened and the fibrosed anterior joint capsule is excised. The degenerative changes are always more advanced on the radial side, with erosion of the capitellum, and it is usually necessary to remodel the head of the radius. In 29 elbows reviewed at a mean of 64 months, the average gain of range of motion was 34 degrees, with good pain relief and improved grip in most patients. Two elbows required reoperation but there were no other serious complications.
我们报告了一种用于治疗晚期原发性肘关节骨关节炎的清创关节成形术的新技术及结果。将肱三头肌和尺骨鹰嘴的骨膜向尺侧翻转，通过切断桡侧副韧带打开关节。去除骨赘，加深鹰嘴窝和冠状窝，并切除纤维化的前方关节囊。桡侧的退变改变总是更严重，伴有肱骨小头侵蚀，通常需要对桡骨头进行重塑。在平均64个月时对29例肘关节进行复查，平均活动范围增加了34度，大多数患者疼痛得到良好缓解，握力改善。2例肘关节需要再次手术，但没有其他严重并发症。
