Rauhaniemi J, Tiusanen H, Kyrö A
Paimio Hospital, University of Turku, Paimio, Finland.
J Hand Surg Br. 2006 Apr;31(2):162-7. doi: 10.1016/j.jhsb.2005.07.010. Epub 2005 Aug 31.
We have analysed the results of 28 total elbow replacements in 27 patients. The replacements were made using the Kudo unconstrained, unlinked, total elbow prosthesis. The elbows were all affected by rheumatoid arthritis. The follow-up time was from 3 to 7 years, with a mean follow-up of 58 months. Our results with this prosthesis in rheumatoid arthritis appear promising and only few complications were noticed. In one case, a radiological loosening of the ulnar component was observed at the 5-year visit but without any clinical symptoms and no operations were needed. In two other cases, an open reduction was performed within the first 3 months to correct a subluxation. A triceps tendon was re-inserted for a fourth patient 55 months postoperatively. In general, the range of motion became statistically significantly better with the prosthesis and there was also a high rate of relief of pain in patients in whom the elbow was severely affected by rheumatoid arthritis.
我们分析了27例患者中28次全肘关节置换的结果。置换采用Kudo无限制、无连接的全肘关节假体。所有肘关节均受类风湿性关节炎影响。随访时间为3至7年，平均随访58个月。我们使用这种假体治疗类风湿性关节炎的结果看起来很有前景，仅发现了少数并发症。1例在5年随访时观察到尺侧组件出现放射性松动，但无任何临床症状，无需手术。另外2例在最初3个月内进行了切开复位以纠正半脱位。第4例患者在术后55个月重新植入了肱三头肌腱。总体而言，使用假体后活动范围在统计学上有显著改善，对于肘部受类风湿性关节炎严重影响的患者，疼痛缓解率也很高。
