AI Article Synopsis
- Eight patients received custom-endoprosthetic elbow reconstructions between 1989 and 2006 due to complications from total elbow replacements or fractures.
- A functional assessment showed that seven patients showed positive outcomes after an average follow-up of 46.1 months, with a mean Toronto Extremity Salvage (TES) score of 67.3.
- The average elbow flexion deformity was 15 degrees with an average flexion arc of 85 degrees, indicating generally satisfactory functional results for this type of reconstruction.
Article Abstract
Eight patients underwent custom-made endoprosthetic elbow reconstruction between 1989 and 2006 either for failed primary total elbow replacements or following complex fracture complications. A functional assessment using the Toronto Extremity Salvage (TES) score was performed. Patients were followed for a mean of 46.1 months (range : 25 to 88). One patient who presented with an infected periprosthetic fracture around a total elbow replacement, failed two-stage reconstruction and underwent excision arthroplasty. The remaining seven patients were available for functional follow-up. Average flexion deformity was 15 degrees (range: 7 to 35) and average flexion arc was 85 degrees (range : 70 to 130). The mean TES score was 67.3 (range: 36.6 to 95.9). Custom made endoprosthetic reconstruction allowed for a satisfactory outcome in all but one of these eight patients with severe bony destruction around the elbow in the absence of tumour infiltration.
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