Posterior surgical approaches to the elbow: A comparative anatomic study
Posterior surgical approaches to the elbow: A comparative anatomic study
复制标题
DOI：
10.1067/mse.2001.116517
复制
发表时间：
2001-07-01
影响因子：
3
通讯作者：
Stanley, D
中科院分区：
文献类型：
--
作者：
Wilkinson, JM;Stanley, D
肱三头肌劈裂、肱三头肌反射和鹰嘴截骨术是成人肘关节最常见的后路手术入路，但没有关于每种入路提供的暴露的比较数据。本研究的目的是确定哪种入路可提供肱骨远端关节面的最大暴露。每个入路在4个成人尸体肘关节上进行。每次入路完成后，用亚甲蓝对可见的关节面进行点样。然后手肘分离，并测量可见关节面的百分比。肱三头肌劈开、肱三头肌反射和鹰嘴截骨入路的暴露关节面中位数分别为35%、46%和57%。鹰嘴截骨术暴露的关节面比肱三头肌劈开入路更多（Mann-Whitney检验，P = 0.03），但并不显著大于肱三头肌反射入路。然而，即使是鹰嘴截骨入路也未能提供超过40%的肱骨远端关节面的可视化。
Triceps splitting, triceps reflecting, and olecranon osteotomy are the most common posterior surgical approaches to the adult elbow, but no comparative data exist as to the exposure provided by each approach. The aim of this study was to determine which of these approaches provides the greatest exposure of the distal humeral articular surface. Each approach was performed on 4 adult cadaveric elbows. After the completion of each approach, the visible articular surface was pointed with methylene blue. The elbow was then disarticulated, and the percentage of articular surface visible was measured. The median exposed articular surface for the triceps splitting, triceps reflecting, and olecranon osteotomy approaches was 35%, 46%, and 57%, respectively. Olecranon osteotomy exposed more articular surface than the triceps splitting approach (Mann-Whitney test, P = .03) but was not significantly greater than the triceps reflecting approach. However, even the olecranon osteotomy approach failed to provide visualization of more than 40% of the distal humeral articular surface.