Harvard Combined Orhtopaedics Residency Program, Harvard Medical School, Boston, MA, USA.
J Am Acad Orthop Surg. 2011 Jun;19(6):328-39. doi: 10.5435/00124635-201106000-00003.
Modifications in implant design and improvements in surgical technique have expanded the applications of total elbow arthroplasty. Complications associated with reconstructive elbow surgery persist, however, often leading to profound and sometimes nonsalvageable disability. The most recognized complications include implant loosening, periprosthetic fracture, implant failure, infection, triceps insufficiency, and nerve palsy. Although far fewer elbow arthroplasties than lower extremity arthroplasties are performed, the proportion of complications is greater with elbow arthroplasty, and the outcomes of secondary reconstruction are less favorable.
植入物设计的改进和手术技术的提高拓宽了全肘关节置换术的应用范围。然而，与肘部重建手术相关的并发症仍然存在，常常导致严重甚至有时无法挽救的残疾。最常见的并发症包括植入物松动、假体周围骨折、植入物失败、感染、三头肌功能不全和神经麻痹。虽然肘部关节置换术的数量远低于下肢关节置换术，但并发症的比例在肘部关节置换术中更高，二次重建的效果也不太理想。
