AI Article Synopsis
- Total elbow arthroplasty (TEA) has a high rate of complications and revision challenges, particularly in patients with poor ulna bone quality.
- A study reviewed 5 patients who underwent a unique surgical technique where the ulnar component was implanted into the radius to manage significant ulnar defects during revision TEA.
- Results showed a significant improvement in elbow movement over an average follow-up of 2.1 years, with no infections or component loosening observed.
Article Abstract
Background: Total elbow arthroplasty (TEA) has a higher rate of revision and complications than other total joint arthroplasties. Salvage options for failed TEAs are limited, especially when patients have poor ulna bone stock. The purpose of this study is to describe a surgical technique and report outcomes of patients who underwent revision TEA with implantation of the ulnar component into the radius to address ulna bony defects.
Methods: A retrospective review of 5 patients at a single institution from 2014 to 2019 in which the ulnar component was implanted into the radius to address large bony defects in the setting of revision TEA was performed.
Results: At follow-up of 2.1 ± 1.9 years, patients experienced an increase in total arc of motion from 86 ± 17° to 112 ± 8°, with infection eradication and no instances of distal component loosening.
Conclusion: This salvage technique was effective at providing a stable elbow in patients with large ulna bony defects as a result of prosthetic joint infection or periprosthetic fracture.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jse.2020.08.018 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cortical windows for implant and cement removal during revision total elbow arthroplasty.
JSES Int
November 2024
Division of Hand and Upper-Extremity Surgery, Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger MSKI, Danville, PA, USA.
Background: Revision total elbow arthroplasty (rTEA) remains a technically challenging procedure with potential for substantial morbidity. Cases involving excessively long cement mantles, removal of well-fixed implants or infected revisions requiring complete cement removal introduce additional technical challenges. Our purpose was to describe the outcomes, results, and complications associated with the use of cortical windows in rTEA.
View Article and Find Full Text PDFLong-term follow-up study of Kudo Type-5 elbow prosthesis in patients with rheumatoid arthritis: minimum 10-year clinical outcomes.
J Shoulder Elbow Surg
December 2024
Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. Electronic address:
Objectives: Rheumatoid arthritis often leads to debilitating damage in the elbow joint, which may require total elbow arthroplasty (TEA). The Kudo TEA is one of the unlinked type prostheses with reportedly favorable outcomes. However, there is limited information available regarding its long-term performance.
View Article and Find Full Text PDFArticle Synopsis
- Nerve transfers can help restore function in patients with severe ulnar neuropathy, and a new technique called the super-turbocharged end-to-side (STETS) transfer has been developed to connect the abductor digiti minimi (ADM) nerve to the ulnar motor nerve for better recovery.
- A retrospective study involving 50 patients from 2020 to 2022 showed that those who underwent the STETS transfer experienced significant improvements in hand function and quality of life, measured through DASH scores and first dorsal interosseous muscle strength.
- The results indicate that the STETS method may lead to better outcomes than traditional nerve transfers, suggesting the need for further research to confirm these
The age specific performance of elbow hemiarthroplasty: A systematic review.
Shoulder Elbow
April 2024
Larkin Hospital Department of Orthopaedic Surgery, Coral Gables, FL, USA.
Background: Compared to total elbow arthroplasty, elbow hemiarthroplasty (EHA) does not have an ulnar component or a hinge/link which eliminates complication risk due to polyethylene wear and ulnar loosening. There are notable gaps in the existing EHA literature. Patient age is often identified as an important determinant when deciding to treat with EHA; however, there is limited age-based evidence.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!