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Published on: July 5, 2011
Compression plate arthrodesis of the elbow
J A McAuliffe1, W E Burkhalter, E A Ouellette
1Department of Orthopaedics and Rehabilitation, University of Miami School of Medicine, Florida 33101.
The Journal of Bone and Joint Surgery. British Volume
|March 1, 1992
Summary
Elbow arthrodesis using AO compression-plate technique is effective for severe injuries and bone loss, achieving high union rates. This method offers reliable joint fusion, even in complex infected cases.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
Background:
- Elbow arthrodesis is a salvage procedure for severe elbow destruction.
- High-energy injuries often present with infection and bone loss, complicating treatment.
Purpose of the Study:
- To evaluate the efficacy and outcomes of AO compression-plate arthrodesis of the elbow.
- To assess the success rate in patients with infected, high-energy injuries and bone loss.
Main Methods:
- Retrospective review of 15 patients undergoing elbow arthrodesis with AO compression plating.
- Average follow-up of 24 months, with specific attention to infection and union.
Main Results:
- Successful arthrodesis in 14 out of 15 patients; one required amputation due to deep infection.
- Eight patients with exposed metal in infected wounds achieved secondary wound healing after hardware removal.
- No clinical or radiographic signs of sepsis were noted at the latest review.
Conclusions:
- AO compression-plate arthrodesis is a viable and applicable technique for elbow fusion, even with significant bone loss.
- The method demonstrates a high certainty of union compared to other techniques.
- It does not appear to increase the risk of subsequent fractures.
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