Kalogrianitis S, Sinopidis C, El Meligy M, Rawal A, Frostick S P
Royal Liverpool University Hospital, Liverpool, England.
J Shoulder Elbow Surg. 2008 Mar-Apr;17(2):287-92. doi: 10.1016/j.jse.2007.06.011. Epub 2008 Jan 7.
This study reviews our experience with primary total elbow arthroplasty in the management of acute distal humeral fractures by use of the iBP unlinked elbow prosthesis. We followed up 9 elbows in 9 patients (including 2 with rheumatoid arthritis), with a mean age of 73 years, for a mean of 3.5 years. Functional outcome was assessed with the Mayo Elbow Performance Score and the recently developed Liverpool Elbow Score. Clinical examination and radiologic assessment were performed by an independent surgeon. All elbows were stable at the latest follow-up examination, all patients were able to perform daily activities, and pain relief was satisfactory. The median value for the Mayo Elbow Performance Score was 95 (range, 65-100). This is the first report of the use of an unlinked prosthesis for the treatment of distal humeral fractures. Our results show that this method of treatment provides a reliable and effective way of dealing with these very difficult fractures when internal fixation is not a viable option.
本研究回顾了我们使用iBP非铰链式肘关节假体治疗急性肱骨远端骨折的初次全肘关节置换经验。我们对9例患者的9个肘关节（包括2例类风湿关节炎患者）进行了随访，平均年龄73岁，平均随访3.5年。使用Mayo肘关节功能评分和最近开发的利物浦肘关节评分评估功能结果。由一名独立外科医生进行临床检查和影像学评估。在最近的随访检查中，所有肘关节均稳定，所有患者均能进行日常活动，疼痛缓解令人满意。Mayo肘关节功能评分的中位数为95（范围65 - 100）。这是关于使用非铰链式假体治疗肱骨远端骨折的首次报告。我们的结果表明，当内固定不可行时，这种治疗方法为处理这些非常困难的骨折提供了一种可靠且有效的方式。
