翻修型全肘关节置换术：考生入门指南

Q4 Medicine

Orthopaedics and Trauma Pub Date : 2024-08-01 DOI:10.1016/j.mporth.2024.05.007

Alistair Ian Eyre-Brook, Lawrence Majkowski, Margo Dirckx, Amjid Ali, Simon Booker

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引用次数: 0

摘要

与传统的关节置换术相比，全肘关节置换术（TEA）的翻修率相对较高（5年翻修率为4%-7%）。翻修的原因最常见的是假体松动。要排除假体周围感染，就必须进行全面的检查，包括病史、检查、血液、X光片和关节组织或液体样本。在对 TEA 进行翻修前，必须考虑患者因素和软组织管理，以确保翻修后的种植体达到最佳效果并延长使用寿命。TEA翻修的手术策略包括单阶段或双阶段翻修、轴承交换、骨窗和支柱移植。

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Revision total elbow arthroplasty: a primer for exam candidates

Total elbow arthroplasty (TEA) has a relatively high revision rate compared to conventional joint arthroplasties (4–7% at 5 years). The cause for revision is most commonly implant loosening. A thorough work-up with history, examination, bloods, radiographs and joint tissue or fluid samples are all required to rule out peri-prosthetic infection. Patient factors and soft tissue management must be considered before revising a TEA to ensure the best outcome and longevity of the revised implant. Surgical strategies for TEA revision include single or two-stage revision, bearing exchange, bone windows and strut grafts.

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来源期刊

Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.