Presnal B P, Chillag K J
University of South Carolina School of Medicine/Richland Memorial Hospital, Columbia, USA.
J Arthroplasty. 1995 Oct;10(5):699-701. doi: 10.1016/s0883-5403(05)80220-7.
Ulnohumeral arthrodesis is the standard technique for elbow fusion. The geometry and surface area of the distal humerus and proximal ulna enhance the chances of fusion while maintaining some wrist motion. A case of a patient with multiple failed elbow procedures in which the standard ulnohumeral fusion was not possible is presented. A radiohumeral arthrodesis was performed in an attempt to obtain a stable, nonpainful elbow. After complete healing of the fusion, the patient was able to use the arm for most functions. This technique is presented as an option for salvage failed elbow arthroplasty in the face of significant bone loss.
尺肱关节融合术是肘关节融合的标准技术。肱骨远端和尺骨近端的几何形状及表面积增加了融合的几率,同时还能保持一定的腕关节活动度。本文介绍了一例患者,其肘部多次手术失败,无法进行标准的尺肱关节融合术。为了获得一个稳定、无痛的肘关节,实施了桡肱关节融合术。融合完全愈合后,患者能够使用该手臂进行大多数功能活动。面对严重的骨质流失,该技术可作为挽救失败的肘关节置换术的一种选择。