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中华肩肘外科电子杂志 ›› 2026, Vol. 14 ›› Issue (02) : 115 -118. doi: 10.3877/cma.j.issn.2095-5790.2026.02.009

病例报告

间置关节成形术治疗肘关节终末期关节炎:病例报告及文献回顾
谢海涛1, 廖景淘2, 李顺2, 白露1,2,(), 张新涛2   
  1. 1524023 湛江,广东医科大学第一临床医学院
    2518036 北京大学深圳医院运动医学科
  • 收稿日期:2026-03-12 出版日期:2026-05-05
  • 通信作者: 白露
  • Received:2026-03-12 Published:2026-05-05
引用本文:

谢海涛, 廖景淘, 李顺, 白露, 张新涛. 间置关节成形术治疗肘关节终末期关节炎:病例报告及文献回顾[J/OL]. 中华肩肘外科电子杂志, 2026, 14(02): 115-118.

图1 患者术前肘关节功能 图A:主动伸肘;图B:主动屈肘
图2 患者术前影像学检查 图A-B:肘关节X线片,可见肱尺关节间隙狭窄,关节面破坏呈虫蚀样改变;图C-D:肘关节CT,可见右肘关节组成骨广泛骨质破坏与增生硬化,滑膜增厚、滑膜囊积液;图E-F:肘关节MR平扫,可见右肘关节关节面下广泛骨质破坏伴滑膜炎、滑膜囊积液,外侧副韧带损伤,肱三头肌、肱肌、尺侧腕屈肌、指前屈肌损伤伴渗出
图3 术中情况 图A:黄色箭头显示肱骨远端关节面完全破坏;图B:紫色箭头所指为阔筋膜贴附缝合行间置关节成形术,黑色箭头所指为尺神经
图4 术后情况影像学及功能 图A-B:术后6周已经完成关节撑开,取外架前正侧位X线片;图C-D:术后2年随访期正侧位X线片;图E-F:术后2年随访功能相,肘关节伸直欠伸5°,屈肘110°
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