肘后入路手术治疗陈旧性肘关节脱位并骨性强直

Outer Margin of Elbow Approach in the Treatment of Elbow Joint Traumatic with Old Dislocation and Osteo-ankylosis

目的 探讨陈旧性肘关节脱位并骨性强直的手术治疗和康复方法。方法 2005年10月～2006年9月行手术治疗陈旧性肘关节脱位并伸肘位骨性强直患者6例，均采用Me Connell肘后皮肤切口结合Campbell后侧入路显露肘关节及肱三头肌肌腱延长，行肘关节松解复位术。术后给以康复训练。结果 疗效评定：获得4～10个月短期随访（平均6个月）。优2例，良3例，可1例，所有患者活动时均无疼痛。结论肘后入路松解复位术适用于陈旧肘关节后脱位并骨性强直患者。术后结合康复训练能有效减轻组织反应，有利于关节功能恢复。

Objective To study the surgical methods in the treatment of traumatic elbow joint damage with old dislocation and osteo - ankylosis. Methods 6 cases with traumatic elbow with old dislocation and osteo - ankylosis at extending position for 2 to 3 months without any treatment were operated through Campbell＇s outer margin of elbow way. Recovery treatments were given. The internal fixations and plastic plates were removed 3 weeks later. Results The follow up was 4 to 10 months （average 6 months）. The elbow joints could move from 50°to 125° （ average 79°） without pain. After the treatment, two cases were excellent, three cases were very good, one cases was good. Conclusion Arthroplasis and operated reduction is good for elbow joint damage with old dislocation and osteo - ankylosis at extend position no more than 3 months. Rehabilitation training releases the soft tissue reaction and assures the process of functional exercise.