Cutler Holt S, Heineman Nathan, Hurd Aaron, Koehler Daniel, Bass Robert, Schacherer Timothy
Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, USA.
J Shoulder Elb Arthroplast. 2022 Jun 20;6:24715492221108608. doi: 10.1177/24715492221108608. eCollection 2022.
Elbow arthrodesis is a salvage operation designed to relieve pain and enable weight bearing in young patients with painful arthritic joints who have failed all other treatment modalities. Unfortunately, elbow arthrodesis is poorly tolerated by many patients because there is no fusion position that accommodates all activities of daily living. As indications for elbow arthroplasty expand and implant design improves, patients living with elbow arthrodesis may seek conversion to arthroplasty to regain a functional range of motion. Only one case of elbow arthrodesis to elbow arthroplasty conversion has been reported in the English literature to date. We present the case of a 58 year old male, five years status post elbow arthrodesis, unable to perform his ADLs adequately, who was successfully converted to a total elbow arthroplasty. Indications, contraindications, and technical pearls are discussed.
肘关节融合术是一种挽救性手术，旨在缓解疼痛，并使患有疼痛性关节炎关节且所有其他治疗方式均无效的年轻患者能够负重。不幸的是，许多患者对肘关节融合术耐受性较差，因为不存在能适应所有日常生活活动的融合位置。随着肘关节置换术的适应证扩大和植入物设计的改进，接受肘关节融合术的患者可能会寻求转换为置换术以恢复功能活动范围。迄今为止，英文文献中仅报道了一例肘关节融合术转换为肘关节置换术的病例。我们报告一例58岁男性患者，在肘关节融合术后五年，无法充分进行日常生活活动，成功转换为全肘关节置换术。文中讨论了适应证、禁忌证及技术要点。
