文档介绍：肘关节成形术的临床现状
【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。
【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
Current status of elbow arthroplasty∥SUN Lei,NING Zhi Center of PLA,the 88th Hospital of PLA,Tai'an 271000,China
Abstract:Two types of elbow arthroplasties are used in current clinial practice:interpositional and implant elbow arthroplasty pletely eliminates pain nor restores full may be indicated for young active patients with severe inflammatory or posttraumatic arthritis,especially those with limited elbow implant arthroplasty e a long way in the past three implant survival data nearly approach those of knee majority of patients have significant improvement in function and marked pain relief after total elbow ,plication rate is higher than that for total hip and knee arthroplasty,is likely inherent in the anatomic uniqueness of the elbow caution must be paid to prevention of plications of total elbow article reviews the types,indications,contraindications and results of elbow arthroplasty.
Key words:elbow; interpos