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类风湿性关节炎的肘关节置换术

Arthroplasty of the elbow in rheumatoid arthritis.

作者信息

Kimura C, Vainio K

出版信息

Arch Orthop Unfallchir. 1976 May 21;84(3):339-48. doi: 10.1007/BF00416092.

Abstract

The study consists of 208 elbow arthroplasties performed on rheumatoid arthritic patients. A straight resection of the joint was used in 53 cases and a modified Hass arthroplasty with skin interposition in 155 cases. The average postoperative range of motion in these groups was 100 degrees and 96 degrees respectively. Postoperatively the joint was painless in 81 and 67% of the elbows respectively. The Hass arthroplasty gave a better stability and extension power. The most common complications were paresthesias in the region of the ulnar nerve and bone resorption in the region of the ulnar nerve and bone resorption in the region of the olecranon fossa.

摘要

该研究包括对类风湿性关节炎患者进行的208例肘关节置换术。53例采用关节直接切除术,155例采用带皮瓣植入的改良哈斯(Hass)关节成形术。这些组术后的平均活动范围分别为100度和96度。术后,分别有81%和67%的肘关节无痛。哈斯关节成形术提供了更好的稳定性和伸展力。最常见的并发症是尺神经区域感觉异常以及鹰嘴窝区域的尺神经和骨质吸收。

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