Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Total elbow arthroplasty for posttraumatic destroyed or unreduced elbow joint

외상 후 파괴된 주관절 또는 진구성 탈구에서의 주관절 전치환술

  • Kim, Young-Kyu (Department of Orthopaedic Surgery, Gil Medical Center, Gachon Medical College) ;
  • Jung, Lee-Hyuk (Department of Orthopaedic Surgery, Gil Medical Center, Gachon Medical College)
  • 김영규 (가천의과대학교 길병원 정형외과학교실) ;
  • 정이혁 (가천의과대학교 길병원 정형외과학교실)
  • Published : 2003.06.01
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Abstract

Purpose: To evaluate the results in patients who received total elbow replacement for posttraumatic destroyed or unreduced elbow joint. Materials and Methods: Six patients with posttraumatic destroyed, or unreduced elbow joint, who were nearly impossible to move actively and had pain and grossly unstable joint, were followed up average 42 months. 3 cases were soft tissue injuries and bone defects which were caused by severe comminuted fracture, 1 was a nonunion with comminuted fracture, and 2 were unreduced elbow joint. Total elbow replacement was performed average 10 months after the injury. All the cases were used by semiconstrained prosthesis, and the results were estimated by Mayo elbow perfomance score. Results: Pain was decreased in all the cases postoperatively. Average ranges of motion were improved with active extension 20° and flexion 120°. Mayo elbow performance scores were pain 42.5 points, range of motion 17.5 points, stability 8.3 points, function 19.2 points and totally 87.5 points, and final results were 3 excellent and 3 good. Loosening of prosthesis was not found in all the cases by final follow-up radiograph. Conclusicon: Semiconstrained TER can be used as a effective treatment improving pain and active ranges of motion caused by posttraumatic destroyed or unreduced elbow joint, however, long term follow-up is needed because early loosening of TER can be occurred due to severe bone defects.

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References

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