Gschwend N, Loehr J, Ivosevic-Radovanovic D
Klinik Wilhelm-Schulthess, Zürich.
Orthopade. 1988 Aug;17(4):366-73.
Elbow arthroplasty is still one of the less frequently performed joint replacement procedures. It is technically demanding, and numerous complications are possible. It is therefore indicated mainly in severely handicapped patients in whom all other alternatives have been attempted. A review of the literature relating to arthroplasties monitored over follow-up periods of more than 5 years shows that the results are now quite acceptable. They are far better than those seen following most resection arthroplasties. The results achieved with our GSB III prosthesis are compared with those obtained with other prosthetic devices in current use. It appears that in a large proportion of cases our prosthesis allows a good range of painfree motion, which we attribute in part to the operative approach used. The complication rate appears to be relatively low.
肘关节置换术仍然是较少开展的关节置换手术之一。该手术技术要求高,且可能出现多种并发症。因此,主要适用于已尝试所有其他治疗方法但仍严重残疾的患者。对随访期超过5年的关节置换术相关文献进行回顾发现,目前的结果相当令人满意。这些结果远比大多数切除性关节成形术的结果要好。将我们的GSB III型假体所取得的结果与目前使用的其他假体装置所取得的结果进行比较。结果显示,在很大一部分病例中,我们的假体能够实现良好的无痛活动范围,我们认为这在一定程度上归功于所采用的手术入路。并发症发生率似乎相对较低。