- 期刊
Transhumeral Approach for Elbow Arthroscopic Surgery
經肱骨途徑肘關節鏡手術
摘要
目的：肘關節鏡手術是一個困難度高的手術，尤其是在某些病變下，會使得肘關節前部入口的建立更加困難與危險。此時我們可嚐試以經肱骨途徑的方法來代替一般建立肘關節前部入口的方法，來完成肘關節前部腔室之手術，以使得手術能順利完成。方法：我們由1999年至2003年共經驗了7個病例，病人年齡由19歲至71歲，平均年齡55歲，男性與女性比例為4比3，其中有一個病例為雙側；其餘病例為單側病變，這其中包括有3例退化性關節炎，1例退化性關節炎併有先前做過肘部尺神經向前轉位，2例外傷性關節炎，其中有一例為雙側病變，1例為類風濕性關節炎併有先天性鷹嘴小窩窗狀小孔。我們以經肱骨途徑的方法來做手術。結果：所有病例皆能順利完成手術，而且沒有造成神經血管損傷之併發症發生，術後追蹤時間由2年至5年6個月，平均4年，追蹤期間也沒有骨折之併發症發生。結論：我們認為經肱骨途徑行肘關節鏡手術是一個可靠之方法，在某些病例下，可用來代替一般之方法。
並列摘要
Background and Purpose: Elbow arthroscopy is a surgery with difficulties. It makes more difficult and dangerous to establish anterior portal of elbow joint especially if disease entity is severe. In such circumstances, we complete operations with transhumeral approach instead of anterior portals which are routinely used to perform the operation of anterior compartment of elbow joint. Methods: We experienced seven cases since 1999 to 2003. Their age was ranged from 19 to 71 years old, and 55 years old in average. There were seven patients including four male and three female. One of them are bilateral, the others unilateral. The etiologies included three degenerative arthritis, two traumatic arthritis with one bilateral involvement, one degenerative arthritis with previous ulnar nerve anterior transposition, and one rheumatoid arthritis with congenital fossa fenestration. Transhumeral approach were performed. Results: We complete all operations smoothly and without complication of neurovascular injury. Period of post-operation follow up from 2 to 5.5 years. Mean: 4 years. No secondary fracture was noted during the time of follow up. Conclusion: We believe that transhumeral approach for elbow arthroscopy is a safe and reliable procedure.