Chen W S, Wang C J, Eng H L
Department of Orthopaedic Surgery, Chang-Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China.
Int Orthop. 1997;21(6):367-70. doi: 10.1007/s002640050187.
Twenty-three patients with tuberculous arthritis of the elbow were treated and followed up for 3 to 8 years. The diagnosis was established by finding mycobacterium tuberculosis in the aspirate or in a surgical specimen in 18, and by histology in 5. A long history of symptoms and extensive involvement of bone and joint are associated with poor results. Early diagnosis and adequate treatment can be followed by good functional results. Postoperative continuous passive motion is valuable in improving the range of movement in elbows with extensive osteoarticular tuberculosis.
23例肘关节结核患者接受了治疗并随访3至8年。18例通过在抽吸物或手术标本中发现结核分枝杆菌确诊,5例通过组织学确诊。症状持续时间长以及骨和关节广泛受累与预后不良相关。早期诊断和充分治疗后可获得良好的功能结果。术后持续被动活动对于改善广泛骨关节结核患者肘关节的活动范围很有价值。