Bryan R S
Arch Surg. 1977 Sep;112(9):1092-3. doi: 10.1001/archsurg.1977.01370090074015.
Total replacement of the elbow joint has been performed on 86 elbows at the Mayo Clinic, all but 15 in patients with rheumatoid arthritis. The Mayo design, which replaces both radiohumeral and humeroulnar joints, was used in 41 elbows, almost all in rheumatoid patients, with 71% good results. The Coonrad hinge with polyethylene bushings was used in 34 elbows; it was successful in 64% of rheumatoid patients, but failed in 46% of posttraumatic patients with bone loss. Previous designs have failed because of humeral loosening. Total elbow replacement is a technique still to be perfected in medical centers before general release.
梅奥诊所已对86例肘关节进行了全关节置换，其中除15例患者外均为类风湿性关节炎患者。梅奥设计用于替换桡肱关节和肱尺关节，41例肘关节采用了该设计，几乎所有患者都是类风湿性关节炎患者，71%的患者效果良好。34例肘关节使用了带有聚乙烯衬套的库恩拉德铰链；在类风湿性关节炎患者中，64%的患者手术成功，但在46%有骨质流失的创伤后患者中手术失败。以前的设计因肱骨松动而失败。全肘关节置换术仍是一种在医疗中心全面推广之前有待完善的技术。
