The “Docking” Method for Periprosthetic Humeral Fracture After Total Elbow Arthroplasty

2010 ◽  
Vol 92 (10) ◽  
pp. 1988-1991 ◽  
Author(s):  
Yusuke Kawano ◽  
Masato Okazaki ◽  
Hiroyasu Ikegami ◽  
Kazuki Sato ◽  
Toshiyasu Nakamura ◽  
...  
Keyword(s):  
Humeral Fracture ◽  
Total Elbow Arthroplasty ◽  
Elbow Arthroplasty ◽  
Docking Method ◽  
Periprosthetic Humeral Fracture

scholarly journals Mid-term results of alumina ceramic unlinked total elbow arthroplasty with cement fixation for patients with rheumatoid arthritis

2018 ◽  
Vol 100-B (8) ◽  
pp. 1066-1073 ◽  
Author(s):  
K. Nishida ◽  
K. Hashizume ◽  
Y. Nasu ◽  
M. Ozawa ◽  
K. Fujiwara ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Performance ◽  
Radiolucent Line ◽  
Humeral Fracture ◽  
Deep Infection ◽  
Alumina Ceramic ◽  
Total Elbow Arthroplasty ◽  
Elbow Arthroplasty ◽  
The Mean

Aims The aim of this study was to report the mid-term clinical outcome of cemented unlinked J-alumina ceramic elbow (JACE) arthroplasties when used in patients with rheumatoid arthritis (RA). Patients and Methods We retrospectively reviewed 87 elbows, in 75 patients with RA, which was replaced using a cemented JACE total elbow arthroplasty (TEA) between August 2003 and December 2012, with a follow-up of 96%. There were 72 women and three men, with a mean age of 62 years (35 to 79). The mean follow-up was nine years (2 to 14). The clinical condition of each elbow before and after surgery was assessed using the Mayo Elbow Performance Index (MEPI, 0 to 100 points). Radiographic loosening was defined as a progressive radiolucent line of >1 mm that was completely circumferential around the prosthesis. Results The mean MEPI scores significantly improved from 40 (10 to 75) points preoperatively to 95 (30 to 100) points at final follow-up (p < 0.0001). Complications were noted in ten elbows (ten patients; 11%). Two had an intraoperative humeral fracture which was treated by fixation and united. One had a postoperative fracture of the olecranon which united with conservative treatment and one had a radial neuropathy which resolved. Further surgery was required for one with a dislocation, three with an ulnar neuropathy and one with a postoperative humeral fracture. Revision with removal of the components was performed in one elbow due to deep infection. There was no radiographic evidence of loosening around the components.With any revision surgery or revision with implant removal as the endpoint, the rates of survival up to 14 years were 93% (95% confidence interval (CI), 83.9 to 96.6) and 99% (95% CI 91.9 to 99.8), respectively, as determined by Kaplan-Meier analysis. Conclusion With the appropriate indications, the mid-term clinical performance of the cemented JACE TEA is reliable and comparable to other established TEAs in the management of the elbow in patients with RA. Cite this article: Bone Joint J 2018;100-B:1066–73.

scholarly journals Long-term outcomes of total elbow arthroplasty for distal humeral fracture: results from a prior randomized clinical trial

2019 ◽  
Vol 28 (11) ◽  
pp. 2198-2204 ◽  
Author(s):  
Niloofar Dehghan ◽  
Matthew Furey ◽  
Laura Schemitsch ◽  
Bill Ristevski ◽  
Thomas Goetz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Humeral Fracture ◽  
Total Elbow Arthroplasty ◽  
Long Term Outcomes ◽  
Distal Humeral Fracture ◽  
Elbow Arthroplasty

scholarly journals Augmented Total Elbow Arthroplasty with Femoral Strut Allograft for Revision of Prosthetic Joint Infection with Distal Humerus Bone Loss and Incomplete Union of Periprosthetic Humeral Shaft Fracture

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
William R. Monahan ◽  
Elizabeth Alaimo ◽  
Jared M. Mahylis
Keyword(s):  
Bone Loss ◽  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Bone Allograft ◽  
Humeral Fracture ◽  
Distal Humerus ◽  
Total Elbow Arthroplasty ◽  
Definitive Treatment ◽  
Elbow Arthroplasty ◽  
Prosthetic Joint

Total elbow arthroplasty (TEA) prosthetic joint infection (PJI) in the setting of distal humerus bone loss poses a challenge for restoration of function. This can be complicated by a periprosthetic humeral fracture. Revision surgery in the setting of these pathologies possesses a significant challenge, especially when two or, in this case, all three problems are treated simultaneously. We present the clinical course, operative findings, and definitive treatment with the use of an augmented total elbow arthroplasty and femoral strut allograft reinforcement in detail. A review of the literature regarding the identification and management of infected TEA with augmented prosthesis and bone allograft augmentation of humerus fractures will be outlined in this case report.

Mid-long term survivorship of the cemented, semi-constrained “Discovery” total elbow arthroplasty.

2021 ◽  
Author(s):  
Zakk M. Borton ◽  
Ganesh Prasad ◽  
Georgios Konstantopoulos ◽  
Marie L. Morgan ◽  
Tim Cresswell ◽  
...  
Keyword(s):  
Total Elbow Arthroplasty ◽  
Elbow Arthroplasty

Complications and revisions after semi-constrained total elbow arthroplasty: a mono-centre analysis of one hundred cases

2015 ◽  
Vol 40 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Julien Toulemonde ◽  
David Ancelin ◽  
Vadim Azoulay ◽  
Nicolas Bonnevialle ◽  
Michel Rongières ◽  
...  
Keyword(s):  
Total Elbow Arthroplasty ◽  
Elbow Arthroplasty
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