Kaźmierczak Maciej, Pyszel Krystian Stanisław, Surdziel Paweł Henryk
Department of Orthopedics, Ostrów Wielkopolski Hospital, Ostrów Wielkopolski, Poland.
Pol Orthop Traumatol. 2013 Apr 2;78:91-6.
Total elbow arthroplasty is still a rarely performed surgical procedure in distal humerus fractures. Reconstruction and osteosynthesis using Locking Compression Plates remains the gold standard for treatment of such types of fractures.
We report a case of 51-year-old man with distal humerus fracture and early destabilization of primary osteosynthesis, successfully treated with total elbow arthroplasty, resulting in excellent physical function of the operated elbow.
Several studies performed over the last decades demonstrated that total elbow arthroplasty in many cases may be a beneficial method of treatment. Osteoporosis, comminuted fractures, older age and early destabilization of primary osteosynthesis are the most common indications for considering elbow arthroplasty.
全肘关节置换术在肱骨远端骨折中仍是一种较少实施的外科手术。使用锁定加压钢板进行重建和接骨术仍是此类骨折治疗的金标准。
我们报告一例51岁男性肱骨远端骨折且初次接骨术早期出现固定不稳的病例，该病例通过全肘关节置换术成功治愈，术后患侧肘关节功能极佳。
过去几十年进行的多项研究表明，在许多情况下全肘关节置换术可能是一种有效的治疗方法。骨质疏松、粉碎性骨折、高龄以及初次接骨术早期固定不稳是考虑进行肘关节置换术的最常见指征。
