Zusammenfassung
Der Kopplungsgrad humeroulnarer Endoprothesen nimmt im Detail Einfluß auf die operative Technik und ihre Besonderheiten. Deshalb sind in diesem Kapitel neben den chirurgischen Zugangswegen für die Implantation einer Ellenbogenprothese die Operationstechniken für ungekoppelte, halbgekoppelte und gekoppelte Prothesen und Partialprothesen getrennt dargestellt. Die wichtigsten Prothesenmodelle werden beispielhaft präsentiert.
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Literatur
Zugänge
Alonso-Llames M (1972) Bilaterotricipital approach to the elbow. Its application in the osteosynthesis of supracondylar fractures of the humerus in children. Acta Orthop Scand 43:479–490
Bryan RS, Morrey BF (1982) Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop Relat Res 166:188–192
Campbell WC (1932) Incision for exposure of the elbow joint. Am J Surg 15:65–67
Cheung EV, Steinmann SP (2009) Surgical approaches to the elbow. J Am Acad Orthop Surg 17:325–333
Dowdy PA, Bain GI, King GJ, Patterson SD (1995) The midline posterior elbow incision. An anatomical appraisal. J Bone Joint Surg Br 77:696–699
Joshi RP, Yanni O, Gallannaugh SC (1999) A modified posterior approach to the elbow for total elbow replacement. J Shoulder Elbow Surg 8:606–611
Kocher T (1911) Textbook of operative surgery, 3. Aufl. Adam and Charles Black, London
Morrey BF (1994) The elbow. Master techniques in orthopaedic surgery. Raven Press, New York
Morrey BF, Askew LJ, An KN (1988) Strength function after elbow arthroplasty. Clin Orthop Relat Res 234:43–50
Pierce TD, Herndon JH (1998) The Trizeps preserving approach to total elbow arthroplasty. Clin Orthop Relat Res 354:144–152
Prokopis PM, Weiland AJ (2008) The triceps-preserving approach for semiconstrained total elbow arthroplasty. J Shoulder Elbow Surg 3:454–458
Shahane SA, Stanley D (1999) A posterior approach to the elbow joint. J Bone Joint Surg Br 6:10221020–1022
Steiger JU, Gschwend N, Bell S (1985) GSB elbow arthroplasty: a new concept and six years experience. Elbow joint Elsevier Science Publishers, Amsterdam, S 285–294
Van Gorder GW (1940) Surgical approach in supracondylar T fractures requiring open reduction. J Bone J Surg 22:278–292
Wolfe SW, Ranawat CS (1990) The osteo-anconeus flap. An approach for total elbow arthroplasty. J Bone Joint Surg Am 72:684–688
Non-constrained-Ellenbogenendoprothesen
Bernardino S (2010) Total elbow arthroplasty: history, current concepts, and future. Clin Rheumatol 29:1217–1221
Fevang BTS, Lie SA, Havelin LI, Skredderstuen A, Furnes O (2009) Results after 562 total elbow replacements: a report from the Norwegian Arthroplasty Register. J Shoulder Elbow Surg 18:449–456
Fink B, Krey D, Schmielau G, Tillmann K, Rüther W (2002) Results of elbow endoprostheses in patients with rheumatoid arthritis in correlaton with previous operations. J Shoulder Elbow Surg 11:360–367
Ikävalko M, Tiihonen R, Skyttä ET, Belt EA (2010) Long-term survival of the Souter-Strathclyde total elbow replacement in patients with rheumatoid arthritis. J Bone Joint Surg 92-B:656–660
Kleinlugtenbelt IV, Bakx PAGM, Huij J (2010) Instrumented Bone Preserving elbow prosthesis in rheumatoid arthritis: 2–8 year follow-up. J Shoulder Elbow Surg 19:923–928
Kudo H, Iwano K (1990) Total elbow arthroplasty with a non-constrained surface-replacement prosthesis in patients who have rheumatoid arthritis. A long-term follow-up study. J Bone Joint Surg 72-A:355–362
Kudo H, Iwano K, Nishino J (1999) Total elbow arthroplasty with use of a nonconstrained humeral component inserted without cement in patients who have rheumatoid arthritis. J Bone Joint Surg 81-A:1268–1280
Landor I, Vavrik P, Jahoda D, Guttler K, Sosna A (2006) Total elbow replacement with the Souter-Strathclyde prosthesis in rheumatoid arthritis. Long-term follow-up. J Bone Joint Surg 88-B:1460–1463
Little CP, Graham AJ, Carr AJ (2005a) Total elbow arthroplasty. A systematic review of the literature in the English language until the end of 2003. J Bone Joint Surg 87-B:437–444
Little CP, Graham AJ, Karatzas G, Woods DA, Carr AJ (2005b) Outcomes of total elbow arthroplasty for rheumatoid arthritis: comparative study of three implants. J Bone Joint Surg 87-A:2439–2448
Loehr JF, Gschwend N, Simmen BR, Katzer A (2003) Endoprothetik des Ellenbogens. Orthopäde 32:717–722
Mansat P (2001) Surgical treatment of the rheumatoid elbow. Joint Bone Spine 68:198–210
Pooley J, Singh RK (2000) Elbow arthroplasty. A guide for orthopaedic surgeons using the iBP elbow system. Biomet 2000
Potter D, Claydon P, Stanley D (2003) Total elbow replacement using the Kudo prosthesis. Clinical and radiological review with five- to seeven- year follow-up. J Bone Joint Surg 85-B:354–357
Rahme H (2002) The Kudo elbow prosthesis in rheumatoid arthritis. A consecutive series of 26 elbow replacements in 24 patients followed prospectively for a mean of 5 years. Acta Orthop Scand 73:251–256
Redfern DRM, Dunkley AB, Stanley JK, Trail IA (2001) Revision total elbow replacement using the Souter-Strathclyde prosthesis. J Bone Joint Surg 83-B:635–639
Rozing P (2000) Souter-Strathclyde total elbow arthroplasty. A long-term follow-up study. J Bone Joint Surg 82-B:1129–1134
Samijo SK van, den Berg ME, Verburg AD, Tonino AJ (2003) Souter-Strathclyde total elbow arthroplasty: medium-term results. Acta Ortho Belgica 69:501–506
Schmidt K, Hilker A, Miehlke RK (2007) Vergleichende Endoprothetik des rheumatischen Ellenbogengelenk. Orthopäde 36:714–722
Skyttä ET, Remes V, Nietosvaara Y, Tallroth K, Paimela L, Ylinen P (2008) Similar results with 21 Kudo and 21 Souter-Strathclyde total elbow arthroplasties in patients with rheumatoid arthritis. Arch Orthop Trauma Surg 128:1201–1208
Skyttä ET, Eskelinen A, Paavolainen P, Ikävalko M, Remes V (2009) Total elbow arthroplasty in rheumatoid arthritis. A population-based study from the Finnish Arthroplasty Register. Acta Orthop Scand 80:472–477
Van der Lugt JCT, Geskus RB, Rozing PM (2004) Primary Souter-Strathclyde total elbow prosthesis in rheumatoid arthritis. J Bone Joint Surg 86-A:465–473
Gekoppelte (constrained) Ellenbogengelenksprothese
Burkhart KJ, Müller LP, Schwarz C, Mattyasovsky SG, Rommens PM (2010) Treatement of the complex intraarticular fracture of the distal humerus with the latitude elbow prosthesis. Oper Orthop Traumatol 22:298279–298
Engelbrecht E, Zippel J (1975) Totale Ellengelenkendoprothese Modell St. Georg. Chirurg 46:235232–235
Ferlic DC (1987) Elbow synovectomy in rheumatoid arthrithis. Clin Orthop 220:119–125
Flemming A, Benn RT, Corbett M (1976) Early rheumatoid disease Ii Patterns of joint involvement. Ann Rheumat Dis 35:361–365
Fink B, Krey D, Schmielau G, Tillmann K, Rüther W (2002) Results of elbow endoprostheses in patients with rheumatoid arthritis in correlation with previous operations. J Shoulder Elbow Surg 11:360–367
Gill DR, Morrey BF (1998) The Coonrad-Morrey total elbow arthroplasty in patients who have rheumatoid arthritis. A ten to fifteen-year follow up study. J Bone Joint Surg Am 80-A:1327–1335
Gschwend N, Steiger U (1985) Elbow synovectomy. Ann Gynaecol 74:31–36
Hastings H, Theng CS (2003) Total elbow replacement for distal humerus fractures and traumatic deformity: results and complications of semiconstrained implants and design rationale for discovery elbow system. Am J Orthop 32(9 Suppl):20–28
Herren DB, O’Driscoll SW, An KN (2001) Role of collateral ligaments in GSB- linked total elbow prosthesis. J Shoulder Elbow Surg 10:260–264
Hildebrand KA, Patterson SD, Regan WD, Mac Dermid JC, King GJ (2000) Functional outcome of semiconstrained total elbow arthroplasty. J Bone Joint 82-A:1379–1386
Kerschbaumer F (1988) Operative Therapiemöglichkeiten am Ellenbogen bei chronischer Polyarthritis. Orthopäde 17:365359–365
Laine VA, Vainio K (1969) Early synovectomy of the elbow in Hijmans WD, Herschel H (Hrsg) Rheumatoid arthritis. Early synovectomy. Excerpta Medica, Amsterdam, S 118117–118
Lee BP, Adams RA, Morrey BF (2005) Polyethylene wear after total elbow arthroplasty. J Bone Joint Surg Am 87-A:10871080–1087
Patil N, Cheung EV, Mow CS (2009) High revision rate after total elbow arthroplasty with a linked semiconstrained device. Orthopedics 32:321–324
Prasad N, Dent C (2010) Outcome of total elbow replacement for rheumatoid arthritis: single surgeons series with Souter-Strathclyde and Coorad-Morrey prosthesis. J Shoulder Elbow Surg 3:376–383
Pulkki T, Vainio K (1962) Compression of the ulnar nerve due to rheumatoid arthritis of the elbow. Ann Chir Gyn 51:176–177
Quenneville CE, Austmann RL, King GJ, Johnson JA, Dunning C (2008) Role of an anterior flange on cortical strains through the distal humerus after total elbow arthroplasty with a latitude implant. J Hand Surg Am 33:927–931
Rüther W, Wiesner L, Tillmann K (1994) Rekonstruktive Operationen am Ellenbogengelenk bei chronischer Polyarthritis. Akt Rheumatol 19:44–49
Scheier HJG (1975) Das GSB Ellenbogengelenk. Z Orthop 113:467–468
Schmidt K, Hilker A, Miehlke RK (2007) Differences in elbow replacement in rheumatoid arthritis. Orthopäde 36:714–722
Schneeberger AG, Meyer DC, Yian EH (2007) Coonrad-Morrey total elbow replacemant for primary and revision surgery: a 2- to 7.5-year follow-up study. J Shoulder Elbow Surg 16(3 Suppl):5447–54
Seitz WH Jr, Bismar H, Evans PJ (2010) Failure of the hinge mechanism in total elbow arthroplasty. J Shoulder Elbow Surg 3:368–375
O’Driscoll SW, An KN, Korinek S, Morrey BF (1992) Kinematics of semi-constrained total elbow arthroplasty. J Bone Joint Surg Brit 74-B:297–301
Shi LL, Zurakowski D, Jones DG, Kris MJ, Thornhill TS (2007) Semiconstrained primary and revision total elbow arthroplasty with use of the Coonrad-Morrey prosthesis. J Bone Joint Surg Am 89-A:1467–1475
Thabe H, Tillmann K (1982) Ergebnisse nach Synovektomien des Ellenbogengelenks. Akt Rheumatol 7:1–3
Thabe H (Hrsg) (1997) Praktische Rheumaorthopädie. Chapman & Hall, London
Radiuskopfersatz
Ambacher T, Maurer F, Weise K (2000) Behandlungsergebisse nach primärer und sekundärer Radiusköpfchenresektion. Unfallchirurg 103:437–443
Antuna SA, Sanchez-Marquez JM, Barco R (2010) Long-term results of radial head resection following isolated radial head fractures in patients younger than forty years old. J Bone Joint Surg 92:558–566
Athwal GS, Frank SG, Grewal R, Faber KJ, Johnson J, King GJW (2010) Determination of correct implant size in radial head arthroplasty to avoid overlengthening: surgical technique. J Bone Joint Surg 92:250–257
Burkhart KJ, Mattyasovszky SG, Runkel M, Schwarz C, Küchle R, Hessmann MH, Rommens PM, Lars MP (2010) Mid- to long-term results after bipolar radial head arthroplasty. J Shoulder Elbow Surg 19:965–972
Chanlalit C, Shukla DR, Fitzsimmons JS, Thoreson AR, An KN, O’Driscoll SW (2011) Radiocapitellar stability: the effect of soft tissue integrity on bipolar versus monopolar radial head prostheses. J Shoulder Elbow Surg 20:219–225
Chantelot C, Wavreille G (2009) Radial head fractures: treatment by prosthetic replacement. Orthop Trauma Surg Res 95:458–461
Court-Brown CM, Ceasar B (2006) Epidemiology of adult fractures: a review. Injury Int Care Injured 37:691–697
Grewal R, MacDermid JC, Faber KJ, Drosdowech DS, King GJ (2006) Comminuted radial head fractures treated with a modular metallic radial head arthroplasty. Study of outcomes. J Bone Joint Surg Am 88:2192–2200
Heyd R, Strassmann G, Schopohl B, Zamboglou N (2001) Heterotopic ossification at the elbow. J Bone Joint Surg Br 83:332–334
Itamura J, Roidis N, Mirzayan R, Vaishnav S, Learch T, Shean C (2005) Radial head fractures: MRI evaluation of associated injuries. J Shoulder Elbow Surg 14:421–424
Janssen RPA, Vegter J (1998) Resection of the radial head after mason type-III fractures of the elbow. J Bone Joint Surg Br 80-B:231–233
Johnston GW (1962) A follow-up of one hundred cases of fractures of the head of the radius with a review of literature. Ulster Med J Belfast 31:51–56
Josten C, Lill H (2002) Ellenbogenverletzungen. Steinkopf, Darmstadt
Katthagen JC, Jensen G, Lill H, Voigt C (2013) Monobloc radial head prostheses in complex elbow injuries: results after primary and secondary implantation. Int Orthop 37(4):631–9
Konrad GG, Kundel K, Kreuz PC, Oberst M, Sudkamp NP (2007) Monteggia fractures in adults: long-term results and prognostic factors. J Bone Joint Surg Br 89:360354–360
Mason ML (1954) Some observations on fractures of the head of the radius with a review of one hundred cases. J Bone Joint Surg Br 42:123–132
Moghaddam A, Lennert A, Studier-Fischer S, Wentzensen A, Zimmermann G (2008) Endoprothesenversorgung nach Radiusköpfchentrümmerfrakturen. Mittelfristige Ergebnisse. Unfallchirurg 111:997–1004
Moon JG, Berglund LJ, Zachary D, An KN, O’Driscoll SW (2009) Radiocapitellar joint stability with bipolar versus monopolar radial head prosthesis. J Shoulder Elbow Surg 18:779–784
Morrey BF, Tanaka S, An KN (1991) Valgus Stability of the elbow. A definition of primary and secondary constraints. Clin Orthop Relat Res 265:187–195
Müller MC, Burger C, Striepens N, Wirtz CD, Weber O (2008) Endoprothetischer Ersatz der nicht rekonstruierbaren Radiuskopffraktur (Mason III und IV) mit der bipolaren Radiuskopfprothese nach Judet – Klinische Ergbnisse. Z Orthop Unfall 146:218–226
Müller MC, Kälicke T, Burger C, Weber O (2010) Endoprothetischer Ersatz des radialen Pfeilers nach Trauma. Unfallchirurg 113:984–989
Müller MC, Burger C, Wirtz DC, Weber O (2011) Der endoprothetische Ersatz der nichtrekonstruierbaren Speichenkopffraktur mit einer bipolaren Radiuskopfprothese. Orthop Traumatol 23:37–45
Ruan HJ, Fan CY, Liu JJ, Zeng BF (2009) A comparative study of internal fixation and prosthesis replacement for radial head fractures of mason type II. Int Orthop 33:249–253
Schneeberger AG, Sadowski MM, Jacob HAC (2004) Coronoid process and radial head as posterolateral rotator stabilizers of the elbow. J Bone Joint Surg 86:975–982
Schofer MD, Peterlein CD, Kortmann HR (2008) Radiuskopfprothese – Behandung von Radiuskopftrümmerfrakturen mit begleitender Bandinstabilität. Z Orthop Unfall 146:760–767
Van Riet RP, Morrey BF (2008) Documentation of associated injuries occurring with radial head fractures. Clin Orthop Relat Res 466:130–134
Van Riet RP, Sanchez-Soleto J, Morrey BF (2010) Failure of metal radial head replacement. J Bone Joint Surg Br 92-B:661–667
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Jensen, G. et al. (2013). Operationstechnik. In: Rüther, W., Simmen, B. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34672-9_5
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