Argintar Evan, Berry Micah, Narvy Steven J, Kramer Jonathan, Omid Reza, Itamura John M
Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, USA.
Orthopedics. 2012 Dec;35(12):1042-5. doi: 10.3928/01477447-20121120-06.
Total elbow arthroplasty is the current gold standard of treatment for unreconstructable distal humerus fractures; however, longevity of the implant remains a concern in younger, more active patients. Distal humerus hemiarthroplasty offers an alternative and may allow for more durable results. The authors retrospectively evaluated the short-term clinical outcomes of 10 patients who underwent elbow hemiarthroplasty for distal humerus fractures. This short-term review suggests that distal humerus hemiarthroplasty may be an effective treatment for certain distal humerus fractures. Additional studies must be conducted to further define the role of elbow hemiarthroplasty for the treatment of complex fractures of the distal humerus.
全肘关节置换术是目前治疗无法重建的肱骨远端骨折的金标准；然而，对于更年轻、活动量更大的患者而言，植入物的使用寿命仍是一个令人担忧的问题。肱骨远端半关节置换术提供了一种替代方案，可能会带来更持久的效果。作者回顾性评估了10例因肱骨远端骨折接受肘关节半关节置换术患者的短期临床结果。这项短期综述表明，肱骨远端半关节置换术可能是治疗某些肱骨远端骨折的有效方法。必须进行更多研究，以进一步明确肘关节半关节置换术在治疗肱骨远端复杂骨折中的作用。
