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Updated: Jun 21, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
[Primary total elbow replacement for complex intra-articular distal humerus fractures]
E Kraus1, R Harstall, N Borisch
1Chirurgisch-Orthopädische Klinik, Regionalspital Surselva, Ilanz, Schweiz.
Der Unfallchirurg
|July 21, 2009
Summary
Total elbow arthroplasty is a viable surgical option for elderly patients with complex distal humerus fractures. This procedure offers good functional outcomes, presenting a valuable alternative to traditional osteosynthesis in this patient group.
Area of Science:
- Orthopedic Surgery
- Geriatric Orthopedics
- Trauma Surgery
Background:
- Open reduction and internal fixation of multifragmentary intra-articular distal humerus fractures yield suboptimal results in elderly osteoporotic patients.
- Complex distal humerus fractures in the elderly pose significant treatment challenges.
Purpose of the Study:
- To evaluate the efficacy of primary total elbow arthroplasty in treating complex intra-articular distal humerus fractures in elderly patients.
- To compare the functional outcomes of total elbow arthroplasty with traditional osteosynthesis in this demographic.
Main Methods:
- A cohort of 12 elderly patients (average age 81 years) with type C distal humeral fractures underwent primary total elbow arthroplasty (Coonrad-Morrey).
- Clinical and radiological assessments were conducted with a mean follow-up of 28 months.
Main Results:
- Patients achieved good functional results, with an average Mayo score of 81/100.
- Elbow function scores (DASH, SECEC) indicated fair results (43 and 68, respectively).
- Average range of motion was 120-33-0 degrees; heterotopic ossification and radiolucent lines were observed in 4 cases each.
Conclusions:
- Primary total elbow arthroplasty demonstrates good functional outcomes for complex intra-articular distal humerus fractures in elderly patients.
- Total elbow arthroplasty serves as a suitable alternative to osteosynthesis for this challenging fracture pattern in the elderly population.
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