Elbow arthrodesis for post-traumatic sequelae: surgical tactics using the Ilizarov frame

Area of Science:

• Orthopedic surgery
• Trauma reconstruction
• Limb salvage surgery

Background:

• Elbow arthrodesis (EA) is an uncommon procedure with frequent challenges.
• Post-traumatic nonreconstructable elbow sequelae often require salvage procedures.
• Ilizarov apparatus offers a potential solution for complex elbow fusions.

Purpose of the Study:

• To evaluate the efficacy of the Ilizarov apparatus for elbow arthrodesis.
• To assess fusion rates and functional outcomes in patients with severe elbow deformities.
• To analyze the Ilizarov technique's advantages in managing complex post-traumatic elbow conditions.

Main Methods:

• A consecutive series of 4 patients with post-traumatic elbow sequelae underwent EA.
• The hybrid advanced Ilizarov technique was employed in all cases.
• Patients had a mean age of 46.7 years, with conditions including complications from total elbow replacement and nonunion.

Main Results:

• Complete union was achieved in 75% (3 of 4) of patients without further surgery.
• Fusion angles ranged from 90° to 120°, with an average union time of 23 weeks.
• One patient required amputation due to persistent infection; 3 patients returned to work.

Conclusions:

• Elbow arthrodesis (EA) using the Ilizarov technique is a reliable method for achieving solid fusion.
• The Ilizarov apparatus provides advantages such as infection control, early mobilization, and versatility.
• This technique offers a reproducible solution for achieving desired fusion angles in complex elbow reconstructions.