Ramirez Miguel A, Cheung Emilie V, Murthi Anand M
From the Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD (Dr. Ramirez and Dr. Murthi) and the Department of Orthopaedic Surgery, Stanford University, Stanford Health Care, Redwood City, CA (Dr. Cheung).
J Am Acad Orthop Surg. 2017 Aug;25(8):e166-e174. doi: 10.5435/JAAOS-D-15-00479.
Despite recent technologic advances, total elbow arthroplasty has complication rates higher than that of total joint arthroplasty in other joints. With new antirheumatic treatments, the population receiving total elbow arthroplasty has shifted from patients with rheumatoid arthritis to those with posttraumatic arthritis, further compounding the high complication rate. The most common reasons for revision include infection, aseptic loosening, fracture, and component failure. Common mechanisms of total elbow arthroplasty failure include infection, aseptic loosening, fracture, component failure, and instability. Tension band fixation, allograft struts with cerclage wire, and/or plate and screw constructs can be used for fracture stabilization.
尽管最近技术有所进步，但全肘关节置换术的并发症发生率高于其他关节的全关节置换术。随着新型抗风湿治疗方法的出现，接受全肘关节置换术的人群已从类风湿性关节炎患者转向创伤后关节炎患者，这进一步加剧了高并发症发生率。翻修的最常见原因包括感染、无菌性松动、骨折和假体失败。全肘关节置换术失败的常见机制包括感染、无菌性松动、骨折、假体失败和不稳定。张力带固定、带环扎钢丝的同种异体支撑物和/或钢板螺钉结构可用于骨折固定。
