Ogilvie-Harris D J, Schemitsch E
Division of Orthopaedic Surgery, Toronto Hospital, Ontario, Canada.
Arthroscopy. 1993;9(1):5-8. doi: 10.1016/s0749-8063(05)80335-4.
Thirty-four patients had one or more loose bodies in the elbow that were extracted arthroscopically in 33, with a small arthrotomy in one. The pain was improved in 85% of patients, locking in 92%, and swelling in 71% of the patients. The number of flexion contractures was reduced from 14 to 5. However, crepitus was improved in only 47% of patients. Overall, 89% of patients had significant improvement by the arthroscopic procedure. There were two transient symptoms of numbness of the forearm but no permanent complications. Overall, arthroscopic removal of loose bodies from the elbow was a successful procedure, and the posterior portals should be used in all cases.
34例患者肘部有一个或多个游离体，其中33例通过关节镜取出，1例进行了小切口手术。85%的患者疼痛得到改善，92%的患者绞锁症状改善，71%的患者肿胀改善。屈曲挛缩的数量从14例减少到5例。然而，只有47%的患者摩擦音得到改善。总体而言，89%的患者通过关节镜手术有显著改善。有2例出现前臂短暂麻木症状，但无永久性并发症。总体而言，关节镜下取出肘部游离体是一种成功的手术方法，所有病例均应使用后外侧入路。
