肘外侧与前侧正中联合入路治疗肘关节恐怖三联征

Lateral elbow approach combined with anterior median approach in treatment of terrible triad of elbow

目的探讨外侧与前侧正中联合入路治疗肘关节恐怖三联征的临床疗效。方法回顾性分析2012年4月至2015年1月20例肘关节恐怖三联征患者采用肘外侧及前侧正中联合入路手术治疗的术后恢复情况、前臂旋转范围及肘关节活动度,采用Mayo评分系统评价术后关节恢复情况。结果所有患者伤口均为Ⅰ期愈合;依据Mayo评价系统,疗效优11例,良4例,优良率为75%;末次随访后肘关节屈伸活动度为(122.06±24.17)°,前臂旋转度(136.28±8.9)°。结论肘外侧与前侧正中联合入路治疗肘关节恐怖三联征术中视野清晰,疗效优良率高,无肘关节失稳、神经损伤等严重并发症发生。

Objective To analyze the clinical efficacy of lateral elbow approach combined with anterior median approach in the treat- ment of terrible triad of elbow. Methods Retrospectively analyzed 20 patients of terrible triad elbow who were admitted into our hospital from April 2012 to January 2015 and treated with lateral elbow approach combined with anterior median approach. The postoperative recovery of ar- throsis,forearm rotation range,and range of motion were evaluated by Mayo score system. Results All patients wounds were with primary healing. There were 11 cases of excellent and 4 eases of good through Mayo score system,with the good rate of 75%. At the final follow-up, the range of motion was （ 122.06± 24.17）°and the forearm rotation was （ 136.28± 8.9）°. Conclusion Lateral elbow approach combined with anterior median approach for the treatment of terrible triad of elbow has clear visual field, excellent surgical rate, without complications such as elbow instability and nerve damage.