Research progress in revision surgery after total elbow arthroplasty
10.3760/cma.j.issn.1001-8050.2020.09.005
- VernacularTitle:全肘关节置换术后翻修治疗的研究进展
- Author:
Weitong SUN
1
;
Xieyuan JIANG
;
Yejun ZHA
;
Maoqi GONG
;
Shuai LU
Author Information
1. 北京积水潭医院创伤骨科 100035
- From:
Chinese Journal of Trauma
2020;36(9):791-796
- CountryChina
- Language:Chinese
-
Abstract:
Total elbow arthroplasty (TEA) is an effective surgical method for treatment of end-stage elbow arthritis. However, compared with hip and knee arthroplasties, the implant survival rate of TEA remains low, with a high postoperative complications rate and a high revision rate. The main reasons for revision include aseptic loosening, periprosthetic infection, periprosthetic fracture, component failure, and postoperative instability, of which the most common cause is aseptic loosening. Unlike the initial TEA, revision surgery usually needs to deal with complicated conditions such as infection, scars, bone defects, prosthetic stem extraction and cement removal, making the operation more difficult. There are few clinical studies related to TEA revision in China. Therefore, the authors review the reasons for postoperative revision, the management of key intraoperative issues, and the outcomes of treatment to provide the basis for future clinical application and academic research of TEA revision surgery in China.
