Geutjens G G, Langstaff R J, Smith N J, Jefferson D, Howell C J, Barton N J
University Hospital, Queen's Medical Centre, Nottingham, UK.
J Bone Joint Surg Br. 1996 Sep;78(5):777-9.
We carried out a prospective randomised study comparing medial epicondylectomy with anterior transposition for the treatment of ulnar neuropathy at the elbow. The mean follow-up period was 4.5 years and we assessed the patients neurologically and orthopaedically. Neither procedure appeared to have a significant effect on elbow function. Our study showed better results after medial epicondylectomy; in particular patient satisfaction was higher than after ulnar nerve transposition. There were no significant differences in motor power or nerve-conduction rates and sensory fibres appeared to be more vulnerable to devascularisation.
我们进行了一项前瞻性随机研究，比较了内侧上髁切除术与前移位术治疗肘部尺神经病变的效果。平均随访期为4.5年，我们对患者进行了神经学和矫形学评估。两种手术似乎对肘部功能均无显著影响。我们的研究显示内侧上髁切除术后效果更好；特别是患者满意度高于尺神经移位术后。运动能力或神经传导率方面无显著差异，感觉纤维似乎更容易受到血运障碍的影响。
