Unlinked elbow arthroplasty as primary treatment for fractures of the distal humerus

Journal of Shoulder and Elbow Surgery
S KalogrianitisS P Frostick

Abstract

This study reviews our experience with primary total elbow arthroplasty in the management of acute distal humeral fractures by use of the iBP unlinked elbow prosthesis. We followed up 9 elbows in 9 patients (including 2 with rheumatoid arthritis), with a mean age of 73 years, for a mean of 3.5 years. Functional outcome was assessed with the Mayo Elbow Performance Score and the recently developed Liverpool Elbow Score. Clinical examination and radiologic assessment were performed by an independent surgeon. All elbows were stable at the latest follow-up examination, all patients were able to perform daily activities, and pain relief was satisfactory. The median value for the Mayo Elbow Performance Score was 95 (range, 65-100). This is the first report of the use of an unlinked prosthesis for the treatment of distal humeral fractures. Our results show that this method of treatment provides a reliable and effective way of dealing with these very difficult fractures when internal fixation is not a viable option.

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Citations

Jun 6, 2009·Rheumatology International·Anuj JaiswalWallace Ogufere
Apr 13, 2011·Musculoskeletal Surgery·Marco FrattiniFrancesco Pogliacomi
Apr 28, 2009·Journal of Shoulder and Elbow Surgery·Bjørg-Tilde S FevangOve Furnes
Mar 19, 2014·Journal of Shoulder and Elbow Surgery·Juan P SimoneBernard F Morrey
Jan 15, 2013·Journal of Shoulder and Elbow Surgery·Karthik VishwanathanSimon P Frostick
Oct 19, 2011·Journal of Shoulder and Elbow Surgery·Lars Adolfsson, Jens Nestorson
Dec 8, 2010·Journal of Shoulder and Elbow Surgery·Ilya VoloshinBernard F Morrey
Feb 9, 2010·Journal of Shoulder and Elbow Surgery·Colin P McDonaldGraham J W King
Jan 6, 2009·The Journal of Hand Surgery·Andrew S Wong, Mark E Baratz
Aug 29, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·P MansatUNKNOWN Bone, Joint Trauma Study Group (GETRAUM)
Nov 25, 2014·Archives of Orthopaedic and Trauma Surgery·Jin Soo ParkSoo Joong Choi
May 5, 2009·The Journal of Bone and Joint Surgery. American Volume·Matthew L RamseyBradford O Parsons
Jul 19, 2013·The Journal of Bone and Joint Surgery. American Volume·Kelly Riedel, Dorcas E Beaton
Jul 12, 2017·JBJS Reviews·Chantal L WelsinkMichel P J van den Bekerom
Feb 7, 2018·International Orthopaedics·Charalampos G Zalavras, Efthymios Papasoulis
Jan 6, 2012·The Journal of Bone and Joint Surgery. British Volume·D Popovic, G J W King
Jan 8, 2013·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Karol SzylukJerzy Widuchowski
Apr 10, 2017·Archives of Orthopaedic and Trauma Surgery·Ante PrkicDenise Eygendaal
Aug 22, 2018·BMC Musculoskeletal Disorders·Ziyang Sun, Cunyi Fan
Sep 20, 2017·The Journal of Bone and Joint Surgery. American Volume·Raul BarcoJoaquin Sanchez-Sotelo
Jul 17, 2021·JBJS Reviews·Daniëlle MeijeringMichel P J van den Bekerom
Jun 28, 2021·Journal of Shoulder and Elbow Surgery·Atsushi TanjiKazuki Sato

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