PDF(Pubmed)
Abstract：
Elbow arthrodesis is a salvage operation designed to relieve pain and enable weight bearing in young patients with painful arthritic joints who have failed all other treatment modalities. Unfortunately, elbow arthrodesis is poorly tolerated by many patients because there is no fusion position that accommodates all activities of daily living. As indications for elbow arthroplasty expand and implant design improves, patients living with elbow arthrodesis may seek conversion to arthroplasty to regain a functional range of motion. Only one case of elbow arthrodesis to elbow arthroplasty conversion has been reported in the English literature to date. We present the case of a 58 year old male, five years status post elbow arthrodesis, unable to perform his ADLs adequately, who was successfully converted to a total elbow arthroplasty. Indications, contraindications, and technical pearls are discussed.
摘要：
肘关节固定术是一种挽救性手术，旨在减轻疼痛并使所有其他治疗方式均失败的年轻关节炎患者负重。不幸的是,由于没有融合体位可以适应日常生活的所有活动，因此许多患者对肘关节固定术的耐受性较差。随着肘关节成形术适应症的扩大和植入物设计的改进，患有肘关节固定术的患者可能会寻求转换为关节成形术以恢复功能范围。迄今为止，英语文献中仅报道了一例肘关节固定术向肘关节成形术转换的病例。我们介绍了一个58岁男性的案例，肘关节固定术后的五年状态，无法充分执行他的ADL，成功转换为全肘关节置换术。指示,禁忌症,和技术珍珠进行了讨论。
