Introduction Pain and disability resulting from posttraumatic, degenerative, or inflammatory radiocapitellar and/or proximal radioulnar pathology can be challenging to manage surgically. The anconeus arthroplasty offers a feasible surgical option to alleviate symptoms and to improve function of the radiocapitellar and/or…
Introduction Today, several salvage options exist for severe articular or structural bone loss from trauma, tumor, infection, or failed prior intervention. The use of chondral grafting for articular problems is covered in Chapters 33 and 67 . In this chapter…
Introduction Primary degenerative arthritis of the elbow is discussed in detail in Chapter 76 . Over the years the etiology has been clarified, and the treatment trend is early intervention with arthroscopic débridement (see Chapter 21 ). Later stages may…
Introduction Rheumatoid arthritis affects 1% to 2% of the general population. Prior to the introduction of disease-modifying antirheumatic drugs (DMARDs), involvement of elbow was present in more than half of the patients with involvement of more than 10 years. Clinical…
Introduction This chapter deals with two final options to preserve some effective function of the extremity. Other revision replacement options are discussed in Chapter 106, Chapter 107, Chapter 108 . We continue to use reinsertion into the cement host; strut…
Introduction As discussed in Chapter 106 , the most important consideration when planning a revision procedure is the status of bone. If osseous integrity is compromised, what are the extent and nature of this feature? Of the several expressions of…
Not uncommonly, substantial bone loss is encountered at the time of revision elbow arthroplasty. A successful reconstruction in these circumstances requires bone loss management. Several bone augmentation techniques are available depending on the nature and extent of bone deficiency. They…
Introduction In spite of improvement in designs and technique, prosthetic failure remains a problem that may be solved with relative ease or may require extensive reconstruction techniques. The more challenging problems involve periprosthetic fracture and osseous deficiency and are covered…
Introduction The incidence of instability following an unlinked total elbow arthroplasty (TEA) has been reported to range from 0% to 13%. The concern about instability and the challenges in treatment have resulted in a trend for surgeons to use a…
Introduction With the increasingly established reliability and success of total elbow arthroplasty (TEA) over the last 2 decades, indications for the procedure have expanded from rheumatoid arthritis to include the full spectrum of traumatic conditions, including posttraumatic arthritis, distal humeral…