采用库多假体的全肘关节置换术。
Total elbow arthroplasty with the Kudo prosthesis.
作者信息
Reinhard R, van der Hoeven M, de Vos M J, Eygendaal D
机构信息
Department of Surgery, Hospital de Heel, Zaandam, The Netherlands.
出版信息
Int Orthop. 2003;27(6):370-2. doi: 10.1007/s00264-003-0491-4. Epub 2003 Jul 17.
Abstract
Between 1990 and 1997 we undertook 57 Kudo type-4 total elbow replacements in 45 patients with rheumatoid arthritis. A total of 34 patients (44 elbows) were evaluated at an average of 7 (4.4-11.2) years using the Mayo Clinic Performance Index. At review 29 elbows were excellent or good and four were fair or poor. The main complications were intraoperative fractures and ulnar neuropathy. No luxations were seen. Loosening of the ulnar component and breakage of the humeral component were most frequent indications for revision. Preoperative radiographic joint destruction was not correlated with revision rate.
摘要
1990年至1997年间，我们对45例类风湿性关节炎患者进行了57次Kudo 4型全肘关节置换术。使用梅奥诊所功能指数，对34例患者（44个肘关节）进行了平均7年（4.4 - 11.2年）的评估。复查时，29个肘关节为优或良，4个为中或差。主要并发症为术中骨折和尺神经病变。未见脱位。尺侧组件松动和肱骨组件断裂是最常见的翻修指征。术前影像学关节破坏与翻修率无关。
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