van der Heide Huub J L, de Vos Maarten J, Brinkman J-Martijn, Eygendaal Denise, van den Hoogen Frank H J, de Waal Malefijt Maarten C
Department of Orthopedic Surgery, Maartenskliniek, Nijmegen, The Netherlands.
Acta Orthop. 2007 Apr;78(2):258-62. doi: 10.1080/17453670710013771.
The Kudo total elbow prosthesis (TEP) is a well-established implant with good mid-term results. The ulnar component can be placed with or without cement, and the humeral component is normally placed without cement.
89 Kudo type-5 total elbow prostheses were evaluated after a mean follow-up of 6 (1.7-11) years. The indication for joint replacement was rheumatoid arthritis in all cases. 49 prostheses were placed without cement. In 40 cases, the ulnar component was cemented and the humeral component was uncemented.
In the uncemented group, 7 revisions had taken place. 3 of these ulnar components were shortstemmed and 4 were long-stemmed. No revisions had been performed in the hybrid group. In the uncemented group another 7 patients showed progressive radiolucencies, while 3 patients in the hybrid group showed progressive radiolucencies.
In this group of RA patients, the survivorship of the cemented ulnar component was better than that of the uncemented ulnar component.
库多全肘关节假体（TEP）是一种成熟的植入物，中期效果良好。尺骨部件植入时可使用骨水泥，也可不使用骨水泥，而肱骨部件通常不使用骨水泥植入。
对89例库多5型全肘关节假体进行评估，平均随访6（1.7 - 11）年。所有病例的关节置换指征均为类风湿性关节炎。49个假体未使用骨水泥植入。40例中，尺骨部件使用骨水泥，肱骨部件未使用骨水泥。
在未使用骨水泥组，进行了7次翻修。其中3个尺骨部件为短柄，4个为长柄。混合组未进行翻修。在未使用骨水泥组，另有7例患者出现进行性透亮区，而混合组有3例患者出现进行性透亮区。
在这组类风湿性关节炎患者中，使用骨水泥的尺骨部件的生存率高于未使用骨水泥的尺骨部件。
