Indications Damage to bony, muscular, and ligamentous structures from injuries such as simple but unstable elbow dislocations or fracture-dislocations may result in elbow instability. Attempts to repair these structures may not address the resultant elbow instability. When instability persists, the…
Introduction Ulnar collateral ligament (UCL) reconstruction has grown dramatically in popularity and utilization since the time of Frank Jobe and Tommy John. Over this period, UCL reconstruction constructs have evolved significantly from the original Jobe technique. Modifications have included refinements…
Indications The most common indication for lateral ulnar collateral ligament (LUCL) reconstruction is a chronic posttraumatic posterolateral rotatory instability of the elbow resulting in mechanical symptoms, pain, and disability. While prior trauma is the most common etiology of LUCL insufficiency,…
Introduction Injuries to the lateral ulnar collateral ligament (LUCL) of the elbow can be caused by simple elbow dislocations as well as complex trauma, or unfortunately, from iatrogenic injury. Simple elbow dislocations can often be treated successfully with bracing and…
Introduction The elbow is the second most commonly dislocated joint in the human body after the shoulder joint. This is likely to be due to the relatively small surface area of the joint, the short working length of stabilizing structures,…
Introduction Articular fractures of the distal humerus are treated most successfully with operative intervention in order to restore function. Despite advances in plating constructs, these fractures can be difficult to fix and failures can result in a high reoperation rate.…
Indications Open reduction and internal fixation (ORIF) is recommended for the majority of medically stable patients with displaced distal humerus fractures. In selected cases, nonsurgical management or total elbow arthroplasty (TEA) may be preferred. You’re Reading a Preview Become a…
Introduction While rare, fractures of the distal humerus are complex and have always created unique challenges for orthopedic surgeons. Until the second half of the 20th century, most of these fractures could not be reliably fixed and therefore were treated…
Introduction The evolution of the basic technical principles of unicompartmental arthroplasty design and implantation are discussed in Chapters 1 , 3 , 6 and 7 . These should endure for years to come. Innovative technological advances, however, will appear, evolve,…
One of the principal advantages of unicompartmental knee arthroplasty (UKA) is its conservative nature. Ideally, after a UKA, any future revision can be carried out with the use of primary total knee arthroplasty (TKA) components and the result can be…