Outcomes After Hemiarthroplasty of the Elbow for the Management of Posttraumatic Arthritis: Minimum 2-Year Follow-up

The Journal of the American Academy of Orthopaedic Surgeons
Jean-David WerthelScott P Steinmann

Abstract

Hemiarthroplasty (HA) of the elbow represents an alternative to total elbow arthroplasty (TEA) without the associated activity restrictions. This study reviews our experience with distal humerus HA with minimum 2-year follow-up. Between 2002 and 2012, 16 elbows underwent HA for posttraumatic arthritis of the elbow. Patients were followed for a minimum of 2 years or until revision surgery. Outcome measures included pre- and postoperative Mayo Elbow Performance Scores (MEPSs), complications, and revisions. Mean age at arthroplasty was 45 years, and follow-up averaged 51 months. All patients had previously undergone one or more surgical procedures at the elbow (average of 1.5 procedures). At follow-up, five had undergone additional surgery; two were revised to TEA. In surviving implants, the range of motion at follow-up was markedly improved from preoperative motion. The MEPS for the remaining HA included five excellent results, three good results, five fair results, and one poor result. Elbow HA is an option for young or active patients with end-stage elbow posttraumatic arthritis who are unwilling to accept activity limitations. However, high rates of revision surgery and revision to TEA occur after HA for posttraumatic osteoart...Continue Reading

References

Aug 1, 1997·The Journal of Bone and Joint Surgery. American Volume·A G SchneebergerB F Morrey
Feb 7, 2001·The Journal of Bone and Joint Surgery. British Volume·S L Cheng, B F Morrey
Sep 22, 2005·Techniques in Hand & Upper Extremity Surgery·Gregory D GramstadKen Yamaguchi
Dec 11, 2007·Journal of Shoulder and Elbow Surgery·Julie E AdamsScott P Steinmann
Mar 18, 2008·Journal of Shoulder and Elbow Surgery·Jose NollaJesse B Jupiter
Dec 3, 2008·The Journal of Bone and Joint Surgery. American Volume·A Noelle Larson, Bernard F Morrey
Jun 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Andrea Celli, Bernard F Morrey
Apr 20, 2011·Hand Clinics·Darwin D ChenMichael R Hausman
Apr 20, 2011·Hand Clinics·Scott P Steinmann
Oct 19, 2011·Journal of Shoulder and Elbow Surgery·Lars Adolfsson, Jens Nestorson
Nov 3, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Benjamin W SearsBernard F Morrey
Jun 25, 2013·Journal of Shoulder and Elbow Surgery·Donald W HohmanPaul P Paterson
Nov 22, 2014·Hand : Official Journal of the American Association for Hand Surgery·John DunnMiguel Pirela-Cruz
Jun 29, 2015·Journal of Shoulder and Elbow Surgery·Joideep PhadnisVipul R Patel
Aug 28, 2015·Strategies in Trauma and Limb Reconstruction·Andras HeijinkDenise Eygendaal
Dec 5, 2016·Journal of Shoulder and Elbow Surgery·Mark SchultzelJohn M Itamura
Aug 22, 2017·The Journal of Hand Surgery·Bradley SchochMatthew Ramsey

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Shoulder and Elbow Surgery
Bradley SchochMark Morrey
The Journal of Bone and Joint Surgery. American Volume
B F Morrey, R S Bryan
The Journal of Bone and Joint Surgery. British Volume
A N LarsonB F Morrey
© 2022 Meta ULC. All rights reserved