Sanchez-Sotelo Joaquin
Mayo Clinic, Rochester, MN, USA.
Shoulder Elbow. 2017 Jan;9(1):61-70. doi: 10.1177/1758573216677200. Epub 2016 Nov 16.
Prosthetic replacement of the elbow joint has continued to improve over time. Widespread implantation of certain designs has led to identification a few successful elements of elbow arthroplasty, as well as several opportunities for improvement. Current hot topics in elbow arthroplasty include triceps-preserving exposures, implantation of components with better-expected wear performance, management of the ulnar nerve, prevention of infection, and the development of successful cementless components. Total elbow arthroplasty has the potential to improve pain, function and quality of life for many patients with articular destruction secondary to inflammatory arthropathy or as a consequence of trauma. Continued advances in this field are key to make this operation as reliable and lasting as hip or knee arthroplasty.
随着时间的推移，肘关节假体置换技术不断改进。某些设计的广泛应用已促使人们识别出肘关节置换术的一些成功要素以及若干改进机会。当前肘关节置换术的热门话题包括保留肱三头肌的手术入路、植入具有更佳预期耐磨性能的假体组件、尺神经的处理、感染的预防以及成功的非骨水泥假体组件的研发。对于许多因炎性关节病继发关节破坏或因创伤导致关节破坏的患者而言，全肘关节置换术有改善疼痛、功能和生活质量的潜力。该领域的持续进展是使这项手术像髋关节或膝关节置换术一样可靠和持久的关键。
