Total Elbow Arthroplasty for Distal Humerus Fractures
Total Elbow Arthroplasty for Distal Humerus Fractures
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DOI：
10.1016/j.ocl.2013.03.009
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发表时间：
2013-07-01
影响因子：
1.8
通讯作者：
Sanchez-Sotelo, Joaquin
中科院分区：
文献类型：
--
作者：
DeSimone, Lori J.;Sanchez-Sotelo, Joaquin
全肘关节置换术越来越多地用于治疗骨质差、粉碎和/或存在肘关节畸形的老年患者的肱骨远端骨折。该手术在不违反伸肌机制的情况下进行;暴露并切除肱三头肌两侧的骨折碎片，并且可以通过相同的暴露植入组件。大多数肘关节的早期结果令人满意，在同一组老年患者中与内固定相比更有利。肘关节成形术治疗骨折的进展可能会结合联合收割机适应症的改进和失败率较低的植入物的开发。
Total elbow arthroplasty has become increasingly popular for the treatment of distal humerus fractures in elderly patients with poor bone quality, comminution, and/or pre-existent elbow abnormalities. The procedure is performed without violating the extensor mechanism; the fractured fragments are exposed and resected on both sides of the triceps, and the components can be implanted through the same exposure. Early outcomes are satisfactory in most elbows and compare favorably with internal fixation in this same group of elderly patients. Advances in elbow arthroplasty for fractures will likely combine refinement of the indications and development of implants with lower rates of failure.