Results of 25 total endoprosthesis operations in patients with defects of the elbow joint of various ethiology are analysed. The endoprostheses produced by Endoservis (Russia) and Coоnrad/Mоrrey Zimmer (USA) were used. The technique of operation and postoperative rehabilitation is described in the article. The estimation of results of treatment was performed by «the Estimation of surgery of an elbow» (American Shoulder and Elbow Surgeons (ASES) Assessments; Richards R.R. et al. 1994). Radiographically the results of treatment were estimated by the method of
Taking into account anatomic and biomechanical peculiarities of elbow joint specialists of Novosibirsk SRITO with Endoservice Firm elaborated original elbow endoprosthesis and instruments for it implantation. The application of this endoprosthesis is permitted in Russian Federation. The implant characterizes higher reliability during functional load and rotative stability of elbow joint in provision with sufficient of motion volume. Indications and contra-indications to total elbow replacement, operative technique as well as protocol of postoperative management of patients are given. Treatment results of 18 patients at terms from 1 to 6 years are presented. Good result was achieved in 72%, satisfactory in 17% and unsatisfactory in 11% of patients.
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