Aldridge J M, Lightdale N R, Mallon W J, Coonrad R W
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
J Bone Joint Surg Br. 2006 Apr;88(4):509-14. doi: 10.1302/0301-620X.88B4.17095.
There have been few reports in the literature of total elbow arthroplasty extending beyond 10 to 15 years. We reviewed 40 patients (41 elbows) with a mean age of 56 years (19 to 83) who had undergone a Coonrad/Coonrad-Morrey elbow arthroplasty by one surgeon for various diagnoses between 1974 and 1994. Surgical selection excluded patients with previous elbow infection or who refused to accept a sedentary level of elbow activity postoperatively. Objective data were collected from charts, radiographs, clinical photographs and supplemented by the referring orthopaedic surgeons' records and radiographs if health or distance prevented a patient from returning for final review. Subjective outcome was defined by patient satisfaction. Of the 41 elbows, 21 were functional between 10 and 14 years after operation, ten between 15 and 19 years and ten between 20 and 31 years. There were 14 complications and 13 revisions, but no cases of acute infection, or permanent removal of any implant.
文献中关于全肘关节置换术后超过10至15年的报道很少。我们回顾了40例患者（41个肘关节），平均年龄56岁（19至83岁），这些患者在1974年至1994年间由同一位外科医生因各种诊断接受了Coonrad/Coonrad-Morrey肘关节置换术。手术选择排除了既往有肘关节感染或术后拒绝接受肘关节活动受限的患者。客观数据从病历、X线片、临床照片中收集，若患者健康状况或距离因素妨碍其返回进行最终复查，则由转诊的骨科医生的记录和X线片进行补充。主观结果由患者满意度定义。在41个肘关节中，21个在术后10至14年功能良好，10个在15至19年功能良好，10个在20至31年功能良好。有14例并发症和13次翻修，但无急性感染病例，也没有任何植入物被永久取出。
