2000 年 19 巻 3-4 号 p. 181-183
Total elbow arthroplasty (TEA) may be indicated for elbows damaged by rheumatoid arthritis (RA), and sufficient joint function is often obtained. This is a report of treatment of a patient who suffered from ulnar never paralysis and joint contracture following TEA for the treatment of RA. Corrective surgery of the elbow joint and neurolysis of the ulnar never were done to relieve the pain and sensory dysfunction, improve the articular range of motion, and ease the disabilities associated with daily activities. The patient was well satisfied with the outcome.
Accurate and precise surgical technique in TEA in very important in achieving a satisfactory outcome. The risk of early postoperative complications, such as ulnar nerve palsy, can be minimized by skillful technique.