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Le protesi di gomito: considerazioni cliniche e metodologiche

  • Adriano MoscoloEmail author
  • Gianmario Micheloni
  • Michele Mazzi
  • Stefano Giaretta
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Elbow arthroplasty: clinical and methodologies considerations

Abstract

Elbow replacement has been typically used for patients suffering from autoimmune arthritis resistant to medical therapy; at present, some of its main indications are chronic degenerative diseases, like primary osteoarthritis, and further distal humerus fractures, not otherwise synthesized, in selected cases. They are classified as total arthroplasty or partial arthroplasty (the latter recommended in younger patients in the absence of joint instability); and as constrained or unconstrained prostheses (more frequently implanted and characterised by kinematic patterns more similar to normal); regardless of the indication, a 5-year survival rate between 72 and 84% is reported.

It is essential to verify the joint stability, if necessary, pursuing a careful reconstruction/reinsertion of the ligamentous and myotendinous apparatus, an accurate implant cementation to prevent possible aseptic complications. Elbow replacement is routinely used in its variants in patients often affected by various comorbidities and therefore more exposed to mechanical or infectious complications. Even with results which are still not comparable to THR or TKR, elbow replacement can be considered an interesting system characterised by rather fast recovery times and good results in terms of pain relief and functional improvement. The complexity of the surgical technique and the still limited numbers of implants suggest to centralise this pathology in reference centres.

Notes

Conflitto di interesse

Gli autori Adriano Moscolo, Gianmario Micheloni, Michele Mazzi e Stefano Giaretta dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

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Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2019

Authors and Affiliations

  • Adriano Moscolo
    • 1
    Email author
  • Gianmario Micheloni
    • 1
  • Michele Mazzi
    • 1
  • Stefano Giaretta
    • 1
  1. 1.U.O.C. Ortopedia e TraumatologiaVicenzaItalia

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