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Periprosthetic fractures about the elbow
1Department of Orthopaedic Surgery, Mayo Clinic, Mayo Foundation, Rochester, Minnesota, USA. odriscoll.shawn@mayo.edu
The Orthopedic Clinics of North America
|April 10, 1999
Summary
Periprosthetic fractures after total elbow replacement are increasing. This article provides classification and treatment guidance based on extensive clinical experience with elbow arthroplasty.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Trauma Surgery
Background:
- Total elbow replacements (TER) are increasingly common.
- Periprosthetic fractures around the elbow are a growing concern.
- Limited literature exists for elbow periprosthetic fracture management compared to hip or knee.
Purpose of the Study:
- To outline principles for classifying elbow periprosthetic fractures.
- To guide treatment strategies for these complex fractures.
- To share clinical experience from over 1000 total elbow arthroplasties.
Main Methods:
- Review of clinical experience with over 1000 total elbow arthroplasties.
- Development of a classification system for periprosthetic elbow fractures.
- Analysis of treatment outcomes based on the proposed classification.
Main Results:
- Identification of key fracture patterns around the elbow post-arthroplasty.
- Correlation of fracture types with specific treatment approaches.
- Clinical insights derived from a large cohort of patients.
Conclusions:
- A structured approach to classification is essential for managing elbow periprosthetic fractures.
- Evidence-based treatment guidelines can be established from extensive clinical experience.
- This work aims to fill a critical gap in the literature for orthopedic surgeons.