Introduction Infection after total elbow arthroplasty (TEA) is a common and devastating complication, with rates from 0 to 14% in clinical series. a a References . Despite the increasing procedure volume of TEA, no clear guidelines exist for the diagnosis…
Introduction Complications after total elbow arthroplasty (TEA) have been widely publicized and are well recognized. An explanation for the high incidence of complications rests on the fact that the elbow is a complex joint that is poorly covered by soft…
Introduction The ankylosed elbow occurs spontaneously after trauma or results from formal intent. In either instance, the functional outcome is generally not well tolerated since there is no “optimum” position for elbow fusion. A stiff elbow cannot move the hand…
Introduction Normal upper-extremity function requires a stable and mobile elbow joint. The unique architecture of the articular surfaces and surrounding soft tissues confers stability to the elbow. An intact joint is required for motion, providing a fulcrum for the muscles…
Introduction Primary osteoarthritis of the elbow as discussed in Chapter 76 is a relatively common condition historically linked to overuse of the joint over extended periods of time as in manual laborers or heavy weight lifters. Patients initially present with…
Introduction With the advent of immunomodulating disease agents for the treatment of inflammatory arthritis, acute trauma and posttraumatic osteoarthritis have become more common indications for elbow arthroplasty. This distinct type of osteoarthritis may develop as a result of traumatic cartilage…
Introduction Distal humeral nonunions occur frequently secondary to suboptimal fracture fixation in a comminuted fracture setting. Host factors such as smoking, osteoporosis, compromised soft tissue envelope, and noncompliance can also increase the chances of developing nonunion. Nonunion usually occurs at…
Introduction Distal humeral fractures are infrequent, when compared to other fractures and comprise approximately 1% to 2% of all adult fractures and 10% of humeral fractures. The population distribution of such fractures tends to be bimodal, with a peak in…
Introduction Elbow arthroplasty was first developed for patients with end-stage articular destruction secondary to inflammatory arthropathy, mostly rheumatoid arthritis (RA). In fact, the long-term performance of elbow arthroplasty has mostly been tested in inflammatory conditions. However, the pharmacologic treatment of…
Introduction As noted in Chapters 85 and 86 , the concepts underpinning the design and results of total elbow arthroplasty are improving with increased basic knowledge of elbow mechanics, better designs, and greater surgical experience. In this chapter the general…