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…
Indications Sternoclavicular joint dislocations occur secondary to trauma or develop spontaneously in patients with collagen disorders, such as Ehler-Danlos syndrome. They are anatomically classified as either anterior or posterior, and further classified as acute or chronic. Joint reconstruction is generally…
Introduction Elbow resection arthroplasty involves removal of the articulating ends of the distal part of the humerus, the proximal part of the ulna, and occasionally the radial head, and letting the soft tissue structures heal around the resected bone segments,…
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…
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 Periprosthetic elbow fractures are difficult conditions complicating an elbow arthroplasty. They may occur intraoperatively during primary or revision surgery or after high- or low-energy trauma or may represent an end-stage implant loosening and osteolytic periprosthetic disease. This wide spectrum…
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 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 Septic arthritis is an inflammatory joint condition secondary to pathologic joint inoculation with infectious microorganisms. It can be the result of either direct inoculation (penetrating trauma) or more commonly caused by hematogenous seeding of the vascular synovial membrane due…