A method of elbow arthrodesis: brief report

Irvine, G. B.; Gregg, P. J.

doi:10.1302/0301-620x.71b1.2914994

Cited by 12 publications

(9 citation statements)

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“…2,5 Given the improvement in medical management, arthrodesis is now rarely needed for tuberculosis of the elbow. 18 Indications for fusion most commonly include elbows that are severely injured with resulting bone loss, infection, articular surface destruction, painful loss of motion, elbow instability, or failed total elbow arthroplasty. 3,5,10,11,18,25 Elbow arthrodesis is a reasonable option to relieve pain and maintain some, although limited, function of the extremity.…”

Section: Discussionmentioning

confidence: 99%

“…18 Indications for fusion most commonly include elbows that are severely injured with resulting bone loss, infection, articular surface destruction, painful loss of motion, elbow instability, or failed total elbow arthroplasty. 3,5,10,11,18,25 Elbow arthrodesis is a reasonable option to relieve pain and maintain some, although limited, function of the extremity. 3,5,10,11,18,25 It is a salvage procedure, used only when other surgical options would likely fail, and thus is not commonly performed.…”

Section: Discussionmentioning

confidence: 99%

“…3,5,10,11,18,25 Elbow arthrodesis is a reasonable option to relieve pain and maintain some, although limited, function of the extremity. 3,5,10,11,18,25 It is a salvage procedure, used only when other surgical options would likely fail, and thus is not commonly performed. 11,18,25 Therefore, the literature on this topic is limited and mostly involves case reports or studies with small numbers of patients.…”

Section: Discussionmentioning

confidence: 99%

“…3,5,10,11,18,25 It is a salvage procedure, used only when other surgical options would likely fail, and thus is not commonly performed. 11,18,25 Therefore, the literature on this topic is limited and mostly involves case reports or studies with small numbers of patients. Only 3 studies have included more than 12 patients.…”

Section: Discussionmentioning

confidence: 99%

“…10 Due to the paucity of cases, there is a lack of consensus on the single best way to perform an elbow arthrodesis. 11,18,25 Fusion rates are reported to range from 56% to 100% using compression plating and external fixation without one superior technique. 18 Fusion of the elbow is technically difficult to …”

Section: Discussionmentioning

confidence: 99%

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Elbow Arthrodesis: A Novel Technique and Review of the Literature

Kovack¹,

Jacob²,

Mighell³

2014

Orthopedics

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The elbow is a complex joint that is the mechanical link in the upper extremity between the hand and the shoulder. Loss of elbow function can severely affect activities of daily living. Arthrodesis of the elbow results in greater functional disability than arthrodesis of the ankle, hip, or knee joints. Arthrodesis is mainly performed for severe joint destruction most commonly due to posttraumatic arthrosis, instability, or infection. The authors describe a new technique of elbow arthrodesis using a step-cut osteotomy that has not been previously reported. They believe that this can increase the surface area for healing with the outcome of a higher fusion rate. It is most important, however, to achieve good compression with lag screws across the fusion site after the desired angled has been achieved. Elbow arthrodesis is not a common orthopedic procedure, but the authors believe that their novel technique provides a reproducible and reliable way to achieve a high fusion rate and desired fusion angle.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Elbow Arthrodesis: A Novel Technique and Review of the Literature

Kovack¹,

Jacob²,

Mighell³

2014

Orthopedics

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Ellenbogengelenkarthrodese

et al. 2010

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Arthrodesis of the elbow joint (EA) is a rare salvage procedure which is disliked by both surgeons and patients. The aim of this study was to analyze the indications, the operation techniques and the outcome of EA in patients treated at our clinic. Between January 1997 and December 2005 a total of 20 patients with a mean age of 55 years (range 27-85 years) were treated with EA at our clinic. In 18 patients a compression plate was used as surgical technique. In 18 out of the 20 patients the operation was performed post-traumatically after infection, bone and tissue defects and painful loss of motion. Of these patients, 16 could be followed up for an average time of 66 months. The outcome was evaluated based on the degree of pain, range of motion, radiographic findings and grip strength measured with the Jamar dynamometer. All patients had a solid and fused EA, the average angle was 89 degrees (range 80-110 degrees) and the grip strength was reduced by 27% compared to the unaffected side. The patients achieved 56 points in the Morrey score, 38.29 points in the DASH (disabilities of the arm, shoulder and hand) score and 80 points in the Constant-Murley score. The indication of EA depends on several factors, therefore it is essential to take the patients' functional requirements into consideration and the best arthrodesis angle should be validated pre-operatively. In these cases the patients can regain good grip strength and a high level of stability within defined functional limitations.

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Elbow Arthrodesis

Dutta¹,

Burns²

2018

Morrey's the Elbow and Its Disorders

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A method of elbow arthrodesis: brief report

Cited by 12 publications

References 1 publication

Elbow Arthrodesis: A Novel Technique and Review of the Literature

Elbow Arthrodesis: A Novel Technique and Review of the Literature

Ellenbogengelenkarthrodese

Elbow Arthrodesis

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