Beckwitt Colin H, Robertson Emerald D, Gu Ja Hea, Munsch Maria M, Baratz Mark E, Kaufmann Robert A
Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA.
J Hand Surg Glob Online. 2023 Aug 10;6(1):91-97. doi: 10.1016/j.jhsg.2023.07.003. eCollection 2024 Jan.
Management of elbow arthritis in younger and higher demand patients is challenging and may benefit from a distal humerus hemiarthroplasty that employs a noncemented method of implant fixation and stabilizes the elbow through ligament reconstruction. By not replacing both articulating surfaces, hardware longevity may be improved. We describe a novel system that may be indicated for the treatment of posttraumatic or primary osteoarthritis of the distal humerus. The step-by-step technique for surgical implantation of this uncemented distal humerus hemiarthroplasty is described and illustrated.
对于年龄较轻、需求较高的患者,肘关节关节炎的治疗具有挑战性,采用非骨水泥固定方法植入假体并通过韧带重建稳定肘关节的肱骨远端半关节成形术可能会带来益处。由于不替换两个关节面,假体的使用寿命可能会延长。我们描述了一种可能适用于治疗肱骨远端创伤后或原发性骨关节炎的新型系统。本文描述并展示了这种非骨水泥型肱骨远端半关节成形术的手术植入分步技术。