A study on clinical outcome of total elbow arthroplasty
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Introduction: Prosthetic total elbow arthroplasty (TEA) is a recognised treatment for the painful arthritic elbow. is a challenging procedure for orthopedic surgeons. For elderly patients with deformity and ankylosis of the elbow due to posttraumatic arthritis or rheumatoid arthritis or comminuted fracture distal humerus, arthroplasty is one of the option. The clinical outcome and long-term survivorship differs from implant to implant, and the results obtained with a given linked or unlinked implant cannot be extrapolated to other members of the same implant family. Materials and Methods: 13 cases of total elbow arthroplasty were included in this study, between June 2010 and October 2013. The indications for total elbow arthroplasty in this study were rheumatoid arthritis, comminuted fracture distal humerus with intraarticular extension, and posttraumatic bony ankylosis of elbow joint. Patients with compound fracture around the elbow joint, severely comminuted fracture proximal ulna, flaccid paralysis of the upper limb, non-restorable function of biceps or triceps and patients with high demanding jobs have been excluded from the study. Results: The average operative time was 86.2 minutes (range 64 to 108 minutes). The follow up was from 4 months to 110 months (mean 71 months). The evaluation of the patients was based on clinical as well as on radiological parameters. Pre-operatively four patients had stable elbows as they had ankylosis in non-functional position between 80 to 90° due to rheumatoid arthritis or traumatic arthritis and also stable by virtue of bony fusion. Remaining nine patients had unstable elbows because of fracture distal humerus. Clinico‑radiologically all the elbows were stable. Conclusion: To conclude, a semi constrained total elbow arthroplasty is a predictable and effective method for decreasing pain and restoring function in elderly patients with chronic elbow dislocation or fracture dislocation. The rapid functional improvement provided by this procedure allows patients to return to activities of daily living early.
Authors and Affiliations
Dr. Natesh Kolusu, Dr. Kiran Reddy Mekala
Keywords
Related Articles
- EP ID EP485337
- DOI 10.22271/ortho.2018.v4.i1h.75
- Views 128
- Downloads 0
Comparative study of EUSOL and Silverstream in healing of pressure sore in traumatic spinal cord injury patients
Pressure sore is among the most common long-term secondary medical complication in persons with spinal cord injury. The majority of morbidity problems and the most frequent cause of death were sepsis associated with geni...
Role of teriparatide in fracture healing: A prospective study
Background: The biology of bone repair and healing is interesting and a huge number of studies have been done in this aspect with the potential technologies for enhancing fracture-healing. Teriparatide an anabolic agent...
Side swipe injury elbow with fixed object collision in mountain region: Presentation and management
Introduction: Side swipe injury is a subgroup of complex elbow trauma. Management of such injury is a formidable challenge to the orthopaedic surgeon. There is no fixed management protocol that is followed due to differe...
Functional outcome of proximal humerus fracture treated with philos plate
Proximal humerus fractures are the third most common nonvertebral osteoporotic fracture after proximal femur and colles fractures, accounting for >10% of fractures, above the age of 65 years. Wide arrays of techniques ha...
Should locking compression plate be an implant of choice to fix the fractures of proximal tibia?: A prospective case stud
We prospectively studied a case series of 30 patients with Proximal tibia fracture after surgically fixing the fracture using Locking Compression plate either by as less invasive stabilization system (MIPPO) or by open p...