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…
Introduction Total elbow arthroplasty (TEA) is indicated for pain and functional limitations secondary to inflammatory arthritis, osteoarthritis, posttraumatic arthritis, acute distal humeral fractures, distal humeral nonunions, tumors, osteonecrosis, and dysfunctional instability. Currently available prostheses can be subclassified as linked, unlinked,…
Introduction Distal humeral hemiarthroplasty (DHH), although first described in 1947, has attracted increasing interest over the last few years as a surgical option for a number of distal humeral disorders. As a result of the improved understanding of the anatomy…
Introduction In this chapter we will discuss the evaluation and treatment of patients with isolated primary osteoarthritis of the radiocapitellar joint. Arthritis of the elbow compared with other joints is relatively uncommon. Risk factors include, but are not limited to,…
Introduction While we have discussed the biomechanics of the elbow in general terms earlier in this book, we now focus on concepts relevant to joint reconstruction, especially prosthetic replacement. As in Chapter 3 , the discussion is arbitrarily divided into…
Introduction The history of prosthetic replacement properly begins with exoprosthetic replacement. Possibly the first recorded such explant is the so-called Cairo toe dating back to 950 BC. Refinements of exoprosthetic replacement were documented in the 16th century with an articulated…
Introduction I personally continue to be interested in the occurrence of loose bodies in and about the elbow. This interest is reflected in the recent historical review of the subject by Konig. First described in the knee by Ambroise Paré…
Introduction Today it is recognized that most of the metabolic diseases that affect joints, such as the crystalline arthropathies, are covered under the topic of seronegative arthropathy (see Chapter 78 ). Other than the crystalline arthropathies, with the possible exception…