抄録
The technical problems of the arthroplasty for the rheumatoid fused elbow were reviewed in two Kudoh-type 3 elbow replacements and five DOH type elbow replacements in 6 patients.
The difficulties were solved by the use of bone cement for osteoporosis, the elongation of the tendon for the shortening of the triceps muscle, and partial resection of the epicondyles or tendon graft for defects in the supporting tissue around the elbow joint.
The postoperative mean range of motion was from an extension of (-) 43° to a flexion of 127°, which was useful in ADL, and good muscle power was regained even in the long-term fused elbow.