| 全肘关节置换手术入路的选择与现状 |
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Received:July 29, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陈辰 |
CHEN Chen |
北京积水潭医院 北京大学第四临床医学院创伤骨科, 北京 100035 |
Department of Orthopaedics Trauma, Jishuitan Hospital, Beijing 100035, China |
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| 蒋协远 |
JIANG Xie-yuan |
北京积水潭医院 北京大学第四临床医学院创伤骨科, 北京 100035 |
Department of Orthopaedics Trauma, Jishuitan Hospital, Beijing 100035, China |
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| 公茂琪 |
GONG Mao-qi |
北京积水潭医院 北京大学第四临床医学院创伤骨科, 北京 100035 |
Department of Orthopaedics Trauma, Jishuitan Hospital, Beijing 100035, China |
jxy0845@sina.com |
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| 期刊信息：《中国骨伤》2014年27卷，第1期，第79-84页 |
| DOI：10.3969/j.issn.1003-0034.2014.01.023 |
| 基金项目:国家自然科学基金（编号：81241064） |
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| 全肘关节置换术最早主要用于治疗风湿性关节炎，但是随着近十几年来技术的进步，其适应证已扩大到创伤后不稳定、创伤性关节炎以及老年人新鲜肱骨远端骨折。但是其术后伤口感染、不愈合、尺神经损伤以及肱三头肌肌力下降等并发症一直是困扰临床骨科医师的问题。全肘关节置换术接受程度最为广泛的入路为Bryan-Morrey入路，近年保留肱三头肌鹰嘴附丽点的入路逐渐增多。本文回顾国内外全肘关节置换术相关的入路报道以及生物力学研究，对全肘关节置换手术入路的选择与现状做一综述。 |
| [关键词]:肘关节 关节成形术,置换 尺神经 综述文献 |
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| Review and selection of the approach of total elbow arthroplasty |
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| Abstract:Total elbow arthroplasty was initially used to manage the rheumatoid arthritis of elbow. With the developement of technology in recent decades,the indication of total elbow arthroplasty include the trauma associated unstable joint,traumatic arthritis and distal humerus fractures in elderly. But the high risk of complications,which includes infection,ulnar nerve deficit and tricep insufficiency,is still an unsolved issue. The most widely used approach nowadays is the Bryan-Morrey approach,while some authors also report triceps on approach recently. This article is an overview in approaches and biomechanical researches of total elbow arthroplasy by reviewing the domestic and overseas involved literatures. |
| KEYWORDS:Elbow joint Arthroplasty,replacement Ulnar nerve Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈辰,蒋协远,公茂琪.全肘关节置换手术入路的选择与现状[J].中国骨伤,2014,27(1):79~84 |
| 英文格式: | CHEN Chen,JIANG Xie-yuan,GONG Mao-qi.Review and selection of the approach of total elbow arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(1):79~84 |
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