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[Reconstructive surgery of malunited elbow fractures]
W Mutschler1, C Burri, S Rübenacker
1Abteilung für Unfallchirurgie, Hand-, Plastische- und Wiederherstellungschirurgie der Universität Ulm.
Der Orthopade
|November 1, 1990
Summary
Elbow fractures can cause deformity and arthritis, limiting joint function. Surgical options like osteotomies and arthroplasty address these late complications, aiming to restore function and reduce pain.
Area of Science:
- Orthopedic surgery
- Traumatology
- Reconstructive surgery
Background:
- Elbow fractures can lead to long-term complications.
- These complications include joint deformity, nonunion (pseudarthrosis), and arthritis.
- Such issues significantly impair joint function and cause pain.
Purpose of the Study:
- To review operative treatments for late elbow fracture complications.
- To discuss indications, surgical techniques, and outcomes for various procedures.
Main Methods:
- Review of surgical interventions for elbow fracture sequelae.
- Description of osteotomies, surface reconstruction, arthrolysis, arthroplasty, alloarthroplasty, and arthrodesis.
- Discussion of clinical evidence and treatment rationales.
Main Results:
- Various surgical techniques exist to manage late elbow complications.
- Procedures aim to correct deformity, improve joint mechanics, and alleviate pain.
- Outcomes depend on the specific complication and chosen surgical method.
Conclusions:
- Operative management is crucial for addressing debilitating late elbow fracture complications.
- Careful selection of surgical procedures based on indications is essential for successful outcomes.
- Restoring function and reducing pain are the primary goals of these reconstructive surgeries.