肘关节成形术的临床现状  

Current status of elbow arthroplasty

作　　者：孙磊[1] 宁志杰[1] 

机构地区：[1]解放军第88医院全军骨科中心,山东泰安271000

出　　处：《中国矫形外科杂志》2009年第12期941-945,共5页Orthopedic Journal of China

摘　　要：目前采用肘关节成形术可分为生物材料间置关节成形术和假体植入关节成形术。生物材料间置关节成形术既不能完全消除疼痛,也不能完全恢复功能,只适合于严重炎性或创伤后关节炎伴有关节活动受限的年轻病人。现代假体植入关节成形术已经历了30年的临床检验,其假体生存率已接近全膝关节置换的水平,全肘关节置换术后绝大多数功能有明显改进,疼痛明显缓解。但由于肘关节解剖的特点,全肘关节置换的并发症发生率高于全髋或全膝关节置换,应高度警惕全肘关节置换的并发症。本文介绍了肘关节成形术的类型、适应证、禁忌证与临床效果。Two types of elbow arthroplasties are used in current clinial practice：interpositional and implant arthroptasty. Inter- position elbow arthroplasty neither completely eliminates pain nor restores full function. It may be indicated for young active patients with severe inflammatory or posttraumatic arthritis, especially those with limited elbow motion. Current implant arthroplasty has come a long way in the past three decades. Elbow implant survival data nearly approach those of knee arthroplasty. The majority of pa- tients have significant improvement in function and marked pain relief after total elbow replacement. However, the complication rate is higher than that for total hip and knee arthroplasty, is likely inherent in the anatomic uniqueness of the elbow itself. Greater cau- tion must be paid to prevention of the complications of total elbow replacement. This article reviews the types, indications,contrain- dications and results of elbow arthroplasty.

关 键 词：肘 间置关节成形术 假体植入关节成形术 全肘关节置换术 并发症 

分 类 号：R687.4[医药卫生—骨科学]