Lubiatowski Przemysław, Olczak Izabela, Lisiewicz Ewa, Bręborowicz Maciej, Długosz Jan, Redman Marcin, Ogrodowicz Piotr, Romanowski Leszek
Department of Orthopaedics, Traumatology and Hand Surgery, University of Medical Sciences in Poznań, Poznań, Poland.
Pol Orthop Traumatol. 2013 Feb 14;78:53-8.
The operation of the total elbow arthroplasty (TEA) is recommended in case of advanced joint destruction. At present both in our country and abroad, the number of elbow arthroplasties performed per year is increasing. Surgical procedures are difficult, and postoperative complications may arise. The aim of this study is to evaluate the function of the elbow and the clinical status of patients after having undergone TEA.
MATERIAL/METHODS: Our research is based on 18 patients who had undergone total elbow arthroplasty. The average patient age was 60. The follow-up time varied from 8-108 months. Postoperative assessment included the evaluation of the range of motion and grip strength using a dynamometer. Functional evaluation was carried out using Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder and Hand (DASH) and the SECEC Elbow Score (SES). We had also assessed the pain level (VAS), postoperative complications and patient satisfaction. The study included X-rays of the elbow for the evaluation of prosthesis integrity and possible signs of implant loosening.
The increase of the range of motion was seen among all patients. The amplitude of flexion and extension increased by an average of 25.3° (p<0.02). The results of all questionnaires of functional assessment showed a significant improvement comparing to results before surgery: DASH - 82.6 (±24.6) vs. 116.7 (±24.2), SECEC - 39.3 (±8.5) vs. 27.9 (±9.2), MEPS - 65 (±23.3) vs. 35.8 (±16.9). The VAS pain decreased from 10.9 (±3) to 5.3 (±4). In the postoperative period, 4 patients experienced inflammation, 2 patients had a loosening of prosthesis, and 6 needed a revision of the prosthesis. 94.4% patients were satisfied with the treatment.
Total elbow arthroplasty effectively improves the clinical status of the patient by reducing pain, increasing range of motion and improving many activities of daily life.
对于晚期关节破坏的情况，建议进行全肘关节置换术（TEA）。目前在我国和国外，每年进行的肘关节置换手术数量都在增加。手术操作困难，术后可能出现并发症。本研究的目的是评估全肘关节置换术后患者的肘关节功能和临床状况。
材料/方法：我们的研究基于18例接受全肘关节置换术的患者。患者平均年龄为60岁。随访时间为8至108个月。术后评估包括使用测力计评估活动范围和握力。使用梅奥肘关节功能评分（MEPS）、手臂、肩部和手部功能障碍（DASH）以及SECEC肘关节评分（SES）进行功能评估。我们还评估了疼痛程度（VAS）、术后并发症和患者满意度。该研究包括肘关节X线检查，以评估假体完整性和植入物松动的可能迹象。
所有患者的活动范围均有所增加。屈伸幅度平均增加25.3°（p<0.02）。所有功能评估问卷的结果与手术前相比均有显著改善：DASH - 82.6（±24.6）对116.7（±24.2），SECEC - 39.3（±8.5）对27.9（±9.2），MEPS - 65（±23.3）对35.8（±1６.9）。VAS疼痛评分从10.9（±3）降至5.3（±4）。术后，4例患者出现炎症，2例患者假体松动，6例患者需要翻修假体。94.4%的患者对治疗满意。
全肘关节置换术通过减轻疼痛、增加活动范围和改善许多日常生活活动，有效改善了患者的临床状况。
