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Related Experiment Videos

[Elbow arthrodesis and its alternative]

M P Hahn1, P A Ostermann, D Richter

  • 1Chirurgische Universitätsklinik und Poliklinik Bergmannsheil, Bochum.

Der Orthopade
|April 1, 1996
PubMed
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Elbow arthrodesis using compression fixation with bone grafting shows promising union rates. Interposition arthroplasty effectively treats joint infections, while allo-arthroplasty is suitable for instability and post-traumatic arthritis.

Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery

Context:

  • Elbow arthrodesis is indicated for significant functional impairment, pain, or joint infection.
  • Optimal positioning for elbow arthrodesis is not well-defined, and functional deficits are poorly compensated by other upper extremity joints.

Purpose:

  • To evaluate the outcomes of compression arthrodesis with internal/external fixation and bone grafting.
  • To assess the efficacy of interposition arthroplasty for infected elbow joints.
  • To determine indications for allo-arthroplasty and resection arthroplasty in elbow reconstruction.

Summary:

  • Compression arthrodesis with internal/external fixation and bone graft yielded a high union rate (5/6 patients).
  • External fixation alone resulted in a higher non-union rate (4/9 patients).

Related Experiment Videos

  • Interposition arthroplasty successfully treated joint infections in 10 patients, with two experiencing instability. This technique showed best results in post-traumatic joint stiffness.
  • Allo-arthroplasty is indicated for permanent instability and post-traumatic arthritis, with contraindications including prior infection, bone loss, shoulder ankylosis, or neuropathic disorders. Resection arthroplasty is preferred for younger patients due to high prosthesis loosening rates.

    • Impact:

    • Compression arthrodesis with bone grafting offers a viable option for elbow fusion with good union rates.
    • Interposition arthroplasty provides a solution for infected elbow joints, preserving function and preventing recurrence.
    • Understanding the specific indications and contraindications for different elbow reconstruction techniques (arthrodesis, interposition arthroplasty, allo-arthroplasty, resection arthroplasty) is crucial for optimizing patient outcomes.