Total elbow arthroplasty in distal humeral nonunion: clinical and radiographic evaluation after a minimum follow-up of three years
| Autor: | Michele Cavaciocchi, Roberto Rotini, Davide Aliani, Francesco Pogliacomi, Francesco Ceccarelli, Maurizio Corradi |
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| Rok vydání: | 2015 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Humeral Fractures Time Factors Radiodensity Radiography medicine.medical_treatment Nonunion Elbow Elbow Joint medicine Total elbow arthroplasty Humans Orthopedics and Sports Medicine In patient Aged Aged 80 and over business.industry Arthroplasty Replacement Elbow General Medicine Middle Aged medicine.disease Arthroplasty Stable fixation Surgery medicine.anatomical_structure Treatment Outcome Female business Elbow Injuries Follow-Up Studies |
| Zdroj: | Journal of shoulder and elbow surgery. 24(12) |
| ISSN: | 1532-6500 |
| Popis: | Background Total elbow arthroplasties (TEAs) are usually indicated in chronic inflammatory arthropathies. This procedure has also recently been used in complex distal humeral fractures and nonunions in selected patients. This study analyzed the clinical and radiographic outcomes in patients treated for nonunions around the elbow region with a minimum follow-up of 3 years. Methods Between May 2002 and June 2012, 20 patients affected with distal humeral nonunions were treated with TEA. All patients were assessed clinically using the Mayo Elbow Performance Score and radiographically to evaluate the positioning of the prosthetic components and signs of loosening. Statistical analyses were performed to investigate the presence of clinical and radiographic variables as predictive factors of poor functional outcomes. Results The Mayo Elbow Performance Score of the affected arm improved significantly between the preoperative period and follow-up. Results were good or excellent in 90% of the patients even if a high rate of complications (30%) was encountered. The development of complications after surgery and stages II, III, and IV radiolucency, according to the Morrey criteria, were predictive factors of poor outcomes. Conclusions According to the satisfactory results observed in this study, TEA could be indicated in selected patients aged older than 70 years with low functional demands and affected with distal humeral nonunions in which obtaining a stable fixation is difficult. |
| Databáze: | OpenAIRE |
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