Northern General Hospital, Sheffield, UK.
J Shoulder Elbow Surg. 2010 Mar;19(2 Suppl):53-8. doi: 10.1016/j.jse.2009.12.013.
Twenty-six consecutive total elbow arthroplasties were performed for comminuted distal humeral fractures between 1995 and 2002. At review, 3 patients had died from unrelated causes, 2 had been lost to follow-up, and 1 could not be assessed due to dementia. The mean age of the remaining 20 patients was 72 years (range, 62-92). There were 4 men and 16 women.
The mean follow-up was 63.2 months (range, 36-108). The mean Mayo Elbow Performance Score was 92 (75-100) with a mean flexion arc of 27 degrees - 125 degrees .
One patient had a postoperative superficial infection, which required a course of antibiotic therapy, and 1 patient who had a radial nerve neuropraxia recovered spontaneously after 6 weeks. Radiographs showed 19 implants were well fixed with no evidence of loosening, while 1 patient had a nonprogressive radio-lucent line on the ulna side of the prosthesis. Additionally, 2 patients developed heterotopic ossification without identifying pre-disposing factors.
Total elbow arthroplasty for distal humeral fractures in elderly patients without inflammatory arthritis can be expected to five good results at a mean follow-up of 5 years.
1995 年至 2002 年间，对 26 例粉碎性肱骨远端骨折患者进行了连续 26 例全肘关节置换术。在复查时，有 3 例患者因非相关原因死亡，2 例患者失访，1 例因痴呆无法评估。其余 20 例患者的平均年龄为 72 岁（范围 62-92 岁）。其中男性 4 例，女性 16 例。
平均随访 63.2 个月（范围 36-108 个月）。平均 Mayo 肘功能评分 92 分（75-100 分），平均屈曲弧 27°-125°。
1 例患者术后发生浅表感染，需行抗生素治疗，1 例桡神经神经病损患者在 6 周后自发恢复。X 线片显示 19 例假体固定良好，无松动迹象，1 例患者假体尺侧出现进行性透亮线。此外，2 例患者发生异位骨化，但未发现诱发因素。
对于无炎症性关节炎的老年患者，肱骨远端骨折行全肘关节置换术可获得良好的 5 年平均随访结果。
