Elbow arthrodesis following failed reconstructive surgeries. Report of two cases
DOI:
https://doi.org/10.1016/j.rccot.2017.03.006Keywords:
elbow arthrodesis, salvage procedure, elbow fusion, failed elbowAbstract
Elbow arthrodesis is used as a salvage procedure in cases of massive elbow articular destruction for which neither reconstruction of articular surface nor arthroplasty are amenable. The main aim is to achieve a rigid fusion in an optimum position according to patient needs which oscillates between 90 and 110 degrees, and can be achieved with different techniques such as, external fixation, posterior or anterior compression plates, or compression screws. Two cases are presented in whom successful elbow arthrodesis was achieved with posterior compression plates after numerous failed elbow surgeries.
Evidence level: IV.
Downloads
References
Horster G, Hierholzer G. Die Arthrodese der oberen Extremitätengelenke im Rahmen der Behandlung infizierter Frakturen und Pseudoarthrosen. Hefte zur Unfallheilkunde. 1982;157:174-80. https://doi.org/10.1007/978-3-642-81801-1_35
Lerner A, Stein H, Calif E. Unilateral hinged external fixation frame for elbow compression arthrodesis: The stepwise attainment of a stable 90-degree flexion position - A case report. J Orthop Trauma. 2005;19:52-5. https://doi.org/10.1097/00005131-200501000-00010
McAuliffe JA, Burkhalter WE, Ouellette EA, Carneiro RS. Compression plate arthrodesis of the elbow. J Bone Joint Surg Br. 1992;74:300-4. https://doi.org/10.1302/0301-620X.74B2.1544974
Presnal BP, Chillag KJ. Radiohumeral arthrodesis for salvage of failed total elbow arthroplasry. J Artrhopl. 1995;10:699-701. https://doi.org/10.1016/S0883-5403(05)80220-7
Rashkoff E, Burkhalter WE. Arthrodesis of the salvage elbow. Orthopedics. 1986;9:733-8. https://doi.org/10.3928/0147-7447-19860501-19
Bilic R, Kolundzic R, Bicanic G, Korzinek K. Elbow arthrodesis after war injuries. Mil Med. 2005;170:164-6.
Bonnel F. Technique d'arthrodese du coude par fixateur externe. J Chir (Paris). 1974;107:79-82.
Dean G, Holliger IVE, Urbaniak J. Elbow allograft for reconstruction of the elbow with massive bone loss. Long term results. Clin Orthop Rel Res. 1997;341:12-22. https://doi.org/10.1097/00003086-199708000-00004
Eijer H, Schafroth M, Marti R. Treatment of non-unions and malunion around the elbow. Orthopäde. 2001;30:627-34. https://doi.org/10.1007/s001320170050
Graham T, Fitzgerald M. The destroyed elbow. J Orthop. 2000;29 Suppl:9-15.
Hahn M, Ostermann PAW, Richter D, Muhr G. Elbow arthrodesis and its alternatives. Orthopäde. 1996;25:112-20. https://doi.org/10.1007/s001320050049
Koch M, Lipscomb PR. Arthrodesis of the elbow. Clin Orthop. 1967;50:151-7. https://doi.org/10.1097/00003086-196701000-00015
Muller-Farber J, Muller KH. Die posttraumatische Osteomyelitis im Bereich des Ellenbogengelenkes - Therapie und Ergebnisse. Hefte Unfallheilkunde. 1982;157:165-73. https://doi.org/10.1007/978-3-642-81801-1_34
O'Neill OR, Morrey BF, Tanaka S, An K. Compensatory motion in the upper extremity after elbow arthrodesis. Clin Orthop Rel Res. 1991;281:89-96. https://doi.org/10.1097/00003086-199208000-00015
Plank E, Spier W. Die Arthrodese des Ellenbogens. Akt Probl Chir Orthop. 1977;2:41-5.
Spier W. Beitrag zur Druckarthrodese des Ellebogengelenks. Msch Unfallheilk. 1973;76:274-7.
Van Gorder GW, Chen CM. The central-graft operation for fusion of tuberculous knees, ankles and elbows. J Bone Joint Surg. 1959;41-A:1020-46. https://doi.org/10.2106/00004623-195941060-00004
Wittek A. Verh.dtsch.orthop. Ges1914, XIII. Congress: 9.
McAuliffe J. Surgical alternatives for elbow arthritis in the young adult. Hand Clin. 2002;18:99-111. https://doi.org/10.1016/S0749-0712(02)00008-2
Nagy S, Szabo R, Sharkey N. Unilateral elbow arthrodesis: The preferred position. J Southern Orthop Assoc. 1999;8:80-5.
Galley IJ, Bain GI, Stanley JC, Lim YW. Arthrodesis of the Elbow with Two Locking Compression Plates. Tech Shoulder Elbow Surg. 2007;8:141-5 https://doi.org/10.1097/BTE.0b013e31812dfb85
Reichel LM, Wiater BP, Friedrich J, Hanel DP. Arthrodesis of the Elbow. Hand Clin. 2011;27:179-86. https://doi.org/10.1016/j.hcl.2011.02.002
Moghaddam-Alvandi A, Dremel E, Güven F, Heppert V, Wagner C. Arthrodesis of the elbow joint Indications, surgical technique and clinical results. Unfallchirurg. 2010;113:300-7. https://doi.org/10.1007/s00113-009-1722-y
Song DJ, Wohlrab KP, Ingari JV. Anterior Ulnohumeral Compression Plate Arthrodesis for Revision Complex Elbow Injury: A Case Report. J Hand Surg Am. 2007;32:1583-6. https://doi.org/10.1016/j.jhsa.2007.07.017
Koller H, Kolb K, Assunc¸ao A, Kolb W, Holz U. The fate of elbow arthrodesis: Indications, techniques, and outcome in fourteen patients. J Shoulder Elbow Surg. 2008;17:293-306. https://doi.org/10.1016/j.jse.2007.06.008
Ring D, Jupiter JB, Toh S. Transarticular bony defects after trauma and sepsis: arthrodesis using vascularized fibular transfer. Plast Reconstr Surg. 1999;104:426-34. https://doi.org/10.1097/00006534-199908000-00016
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Sociedad Colombiana de Cirugía Ortopédica y Traumatología.

This work is licensed under a Creative Commons Attribution 3.0 Unported License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |








