Zhang Dafang, Chen Neal
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Harvard Medical School, Boston, MA; Department of Orthopaedic Surgery, Massachusetts Hospital, Boston, MA.
J Hand Surg Am. 2019 Jun;44(6):487-495. doi: 10.1016/j.jhsa.2018.11.005. Epub 2019 Jan 8.
Total elbow arthroplasty design has evolved in recent decades. Indications for total elbow arthroplasty include advanced rheumatoid arthritis to osteoarthritis, post-traumatic arthritis, adverse sequelae of trauma, and unreconstructable acute fractures. This article summarizes the current evidence for total elbow arthroplasty, including the history of total elbow arthroplasty, an overview of the recent trends and designs, and current evidence-based outcomes. Outcomes are assessed for specific indications, namely rheumatoid arthritis, osteoarthritis, post-traumatic arthritis, acute trauma, and younger patients. Complication rates, reoperation rates, and survivorship of modern prostheses are discussed. Technical pearls and pitfalls are discussed for primary and revision cases.
近几十年来，全肘关节置换术的设计不断发展。全肘关节置换术的适应症包括晚期类风湿性关节炎、骨关节炎、创伤后关节炎、创伤的不良后遗症以及无法重建的急性骨折。本文总结了全肘关节置换术的现有证据，包括全肘关节置换术的历史、近期趋势和设计概述以及当前基于证据的结果。针对特定适应症评估结果，即类风湿性关节炎、骨关节炎、创伤后关节炎、急性创伤和年轻患者。讨论了现代假体的并发症发生率、再次手术率和生存率。还讨论了初次和翻修病例的技术要点和陷阱。
