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Elbow Interpositional Arthroplasty using an Achilles Tendon Allograft: A Case Report
Matthew Glazier1, Morgan Turnow1, Hunter Pharis1
1Department of Orthopedic Surgery, OhioHealth Doctors Hospital, Columbus, Ohio, United States.
Journal of Orthopaedic Case Reports
|August 11, 2025
Summary
Interpositional arthroplasty using an Achilles tendon graft offers a viable solution for post-traumatic elbow arthritis in active patients. This technique can significantly improve pain and range of motion, leading to excellent functional outcomes.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Disorders
Background:
- Post-traumatic elbow arthritis presents a significant challenge, particularly in young, active individuals.
- While total elbow arthroplasty is common for older patients, interpositional arthroplasty is a viable alternative for high-demand patients.
Observation:
- A 50-year-old male with post-traumatic elbow arthritis after multiple surgeries was treated with interpositional arthroplasty.
- An Achilles tendon graft was utilized, allowing immediate, protected range of motion in a hinged elbow brace without external fixation.
Findings:
- The patient experienced significant improvements in pain and range of motion.
- Patient-reported outcomes, including Visual Analog Scale (VAS), American Shoulder and Elbow Surgeons (ASES) scores, Mayo Elbow Performance Score (MEPS), and Disabilities of the Arm, Shoulder, and Hand (DASH) scores, showed marked improvement.
Implications:
- Interpositional arthroplasty is a promising option for managing post-traumatic elbow osteoarthritis in younger patients with good ligamentous stability.
- Immediate, protected range of motion post-surgery can lead to excellent functional recovery and patient satisfaction.
