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全肘关节翻修术

Revision Total Elbow Arthroplasty.

作者信息

Grandizio Louis C, Luciani A Michael, Koshinski Jessica L, Seitz William H

机构信息

Department of Orthopaedic Surgery, Geisinger Musculoskeletal Institute, Geisinger Commonwealth School of Medicine, Danville, PA.

Department of Orthopaedic Surgery, Geisinger Musculoskeletal Institute, Geisinger Commonwealth School of Medicine, Danville, PA.

出版信息

J Hand Surg Am. 2025 Jan;50(1):77-87. doi: 10.1016/j.jhsa.2024.09.006. Epub 2024 Oct 24.

Abstract

Despite improvements in our understanding of elbow biomechanics and implant design, early revision are higher following total elbow arthroplasty (TEA) compared with hip and knee arthroplasty. Revision TEA remains a standard but technically challenging procedure with the potential for substantial morbidity. This review discusses the diagnosis and management of the failed primary TEA. Current concepts related to surgical treatment with revision TEA indicated for prosthetic joint infection, periprosthetic fracture, and aseptic osteolysis will be reviewed. In addition, strategies and adjunctive procedures for dealing with bone loss in the revision setting will be discussed.

摘要

尽管我们对肘关节生物力学和植入物设计的理解有所进步,但与髋关节和膝关节置换术相比,全肘关节置换术(TEA)后的早期翻修率更高。翻修TEA仍然是一种标准但技术上具有挑战性的手术,可能会导致严重的并发症。本文综述了初次TEA失败的诊断和处理。将对与因假体关节感染、假体周围骨折和无菌性骨溶解而行翻修TEA的手术治疗相关的当前概念进行综述。此外,还将讨论在翻修情况下处理骨丢失的策略和辅助手术。

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