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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 2, 191-195.
doi: 10.1302/0301-620X.87B2.15130  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Primary semi-constrained arthroplasty for chronic fracture-dislocations of the elbow

M. A. Mighell, MD, Orthopaedic Surgeon1; R. C. Dunham, DO, Orthopaedic Surgeon2; E. A. Rommel, BA, Research Assistant1; and M. A. Frankle, MD, Orthopaedic Surgeon1

1 Florida Orthopaedic Institute, 13020 Telecom Parkway N, Temple Terrace, Florida 33637, USA.
2 72nd Medical Group, Tinker Air Force Base, 5700 Arnold Street, Building 5801, Tinker AFB, Oklahoma 73145, USA.

Correspondence should be sent to Dr M. A. Mighell; e-mail: mmighell{at}floridaortho.com

We present six patients with chronic dislocation of the elbow who were treated by primary semiconstrained total elbow arthroplasty. All were women with a mean age of 65 years (51 to 76), the mean interval between dislocation and surgery was 17 weeks (5 to 52) and the mean follow-up 58 months (24 to 123).

The most dramatic improvement was in function. The mean American Shoulder and Elbow Surgeon score was 5.2 times better (p < 0.001) and the mean total range of movement increased from 33° to 121° (p < 0.001) after operation. Three patients developed wear of polyethylene. One required revision for a periprosthetic fracture, and another required a bushing exchange.

Primary semiconstrained elbow arthroplasty provides significant, predictable functional improvement. Potential solutions for wear of polyethylene include a different operative technique or design of implant. Despite the high incidence of such wear, total elbow arthroplasty should be considered as a viable treatment option for chronic dislocation of the elbow in elderly patients.




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[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General