Badre Armin, King Graham J W
Western Upper Limb Facility, Sturgeon Hospital, St. Albert, Alberta, Canada.
Division of Orthopaedic Surgery, Department of Surgery, Edmonton, Alberta, Canada.
J Clin Orthop Trauma. 2021 Apr 20;18:66-73. doi: 10.1016/j.jcot.2021.04.015. eCollection 2021 Jul.
There have been significant improvements in surgical techniques and implant designs of elbow arthroplasty over the last five decades. These advances have resulted in improved outcomes and expansion of indications for total elow arthroplasty (TEA). As the proportion of TEAs being performed for inflammatory arthritis has been decreasing in recent years, TEAs are being performed more commonly for the management of acute distal humerus fractures in the elderly, post-traumatic sequelae, and primary osteoarthritis. Appropriate patient selection and meticulous attention to surgical technique including the surgical approach, implant positioning and fixation will result in acceptable outcomes. Future advances in the design, instrumentation, and surgical technique will allow for further improvement in outcomes as the indications for TEA continue to expand.
在过去的五十年里，肘关节置换术的手术技术和植入物设计有了显著改进。这些进展带来了更好的治疗效果，并扩大了全肘关节置换术（TEA）的适应症范围。近年来，因炎性关节炎而进行的TEA比例一直在下降，TEA越来越普遍地用于治疗老年人的急性肱骨远端骨折、创伤后后遗症和原发性骨关节炎。合适的患者选择以及对手术技术的精心关注，包括手术入路、植入物定位和固定，将产生可接受的治疗效果。随着TEA适应症的不断扩大，设计、器械和手术技术方面的未来进展将使治疗效果得到进一步改善。
