[Total elbow arthroplasty in traumatic and post-traumatic bone defects].

Area of Science:

• Orthopedic Surgery
• Trauma Surgery

Background:

• Total elbow arthroplasty is primarily indicated for acute trauma and post-traumatic conditions.
• Bone defects are a common challenge in pre-operative planning for elbow replacement.

Purpose of the Study:

• To review indications and outcomes of total elbow arthroplasty in post-traumatic cases.
• To discuss management strategies for bone defects and complex post-traumatic elbow instability.

Main Methods:

• Review of clinical outcomes for total elbow arthroplasty in post-traumatic settings.
• Analysis of surgical techniques, including triceps-on approach and cementing.
• Consideration of reconstructive options for bone loss, such as allografts or tumor prostheses.

Main Results:

• Semi-constrained prostheses with systematic cementing yield satisfying results but are inferior to outcomes in rheumatic patients.
• Elbow arthroplasty can manage complex distal humerus fractures and chronic instability (e.g., terrible triad injuries).
• Massive bone loss presents challenges, with salvage procedures having less predictable results and higher complication rates.

Conclusions:

• Total elbow arthroplasty is a viable option for specific post-traumatic elbow conditions.
• Careful pre-operative assessment and surgical technique are crucial for optimal outcomes.
• Management of significant bone loss requires advanced reconstructive techniques with increased risks.