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Excisional arthroplasty of the elbow
The Journal of Bone and Joint Surgery. American Volume
|September 1, 1979
Summary
Excisional elbow arthroplasty using Gelfoam and early mobilization effectively relieved pain and restored function in most trauma patients. This surgical approach allowed 90% of patients to return to their previous occupations, demonstrating significant functional recovery.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Elbow disability often results from trauma.
- Excisional arthroplasty is a surgical option for severe elbow dysfunction.
Purpose of the Study:
- To evaluate the long-term outcomes of excisional elbow arthroplasty with Gelfoam interposition and early mobilization.
- To assess pain relief and functional recovery in patients with post-traumatic elbow disability.
Main Methods:
- Thirty patients with residual elbow disability from trauma underwent excisional arthroplasty.
- Gelfoam was used for interposition, followed by early mobilization protocols.
- Patient outcomes were evaluated at a minimum of four years post-operation.
Main Results:
- 80% of patients reported being pain-free after the procedure.
- 90% of patients successfully returned to their previous occupations.
- One patient required reoperation, resulting in a poor outcome.
Conclusions:
- Excisional elbow arthroplasty with Gelfoam and early mobilization offers a high rate of pain relief and return to work.
- This surgical technique is a viable option for managing complex elbow disabilities secondary to trauma.