Interposition Arthroplasty of the Elbow Utilizing a Lateral Epicondyle Osteotomy.

Autor: Walker JW; Indiana Hand to Shoulder Center., Merrell GA; Indiana Hand to Shoulder Center., Reiter BD; Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN., Hastings H 2nd; Indiana Hand to Shoulder Center.
Jazyk: angličtina
Zdroj: Techniques in hand & upper extremity surgery [Tech Hand Up Extrem Surg] 2019 Jun; Vol. 23 (2), pp. 54-58.
DOI: 10.1097/BTH.0000000000000235
Abstrakt: Management of severe elbow arthritis in young or active patients presents a challenging problem. Interposition arthroplasty is a useful salvage procedure for these patients but has a significant failure rate associated with postoperative instability. Previous studies have sought to preserve the integrity of the medial elbow ligament complex to decrease postoperative instability and the need for external fixation. Our lateral epicondylar osteotomy technique preserves the native lateral elbow ligament complex. Potential advantages include bone-to-bone healing of the osteotomy, decreased postoperative instability, and the decreased need for and associated costs and potential complications of supplemental external fixation.
Databáze: MEDLINE