Ferlic D C, Clayton M L
University of Colorado Health Science Center, Denver, USA.
J Shoulder Elbow Surg. 1995 Jul-Aug;4(4):290-7. doi: 10.1016/s1058-2746(05)80023-0.
We had to revise 14 total elbow arthroplasties, three for infection, six for aseptic loosening, four for instability, and one for a failed bearing mechanism. All of the infected elbows were converted to resection arthroplasty with elimination of infection but with poor function; in one acceptable motion was achieved after a fascial arthroplasty. Those that failed aseptically were salvaged with reimplantation of other devices, either a custom implant or a semiconstrained device, which was also used in those nonconstrained elbows that failed because of dislocation. All of the noninfected elbows were successfully revised with relief of pain and motion comparable to or better than that present before revision.
我们不得不对14例全肘关节置换术进行翻修，其中3例因感染翻修，6例因无菌性松动翻修，4例因不稳定翻修，1例因轴承机制故障翻修。所有感染的肘关节均改行切除关节成形术以消除感染，但功能较差；其中1例在筋膜关节成形术后获得了可接受的活动度。无菌性失败的病例通过重新植入其他装置进行挽救，这些装置可以是定制植入物或半限制性装置，因脱位失败的非限制性肘关节也使用此类装置。所有未感染的肘关节均成功翻修，疼痛缓解，活动度与翻修前相当或优于翻修前。
