Ellenbogengelenkarthrodese

Moghaddam-Alvandi, Arash; Dremel, E.; Güven, Fadime; Heppert, V.; Wagner, C.; Studier-Fischer, Stefan; Grützner, Paul Alfred; Biglari, Bahram

doi:10.1007/s00113-009-1722-y

Cited by 19 publications

(6 citation statements)

References 25 publications

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“…Eight patients (22%) reported limitations. One patient (3%) who had had an unstable elbow luxation fracture was required to change jobs due to a postoperative infection which ultimately lead to an elbow arthrodesis [26].…”

Section: Length Of Disabilitymentioning

confidence: 99%

Radial Head Fractures Treated with Open Reduction and Internal Fixation

Moghaddam¹

2016

Trauma Cases Rev

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Section: Length Of Disabilitymentioning

confidence: 99%

Radial Head Fractures Treated with Open Reduction and Internal Fixation

Moghaddam¹

2016

Trauma Cases Rev

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“…In case of severe bone loss, significant comminution, metaphyseal extension of the fracture, or in revision surgery of osteosynthesis or failure of prosthetic implants, different types of reconstruction of the elbow joint are described in the literature, ranging from osteoarticular allografts and Allograft-Prosthetic Composites (APC) to custom-made or modular megaprosthesis or arthrodesis [ 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Megaprosthetic replacement in complex distal humerus fractures in elderly patients: a case series

Caredda,

Cianni,

De Fazio

et al. 2024

J Orthop Surg Res

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Background Managing distal humeral fractures can be challenging for orthopedic surgeons. There are several treatment options for managing this type of fracture, and the treatment method for these fractures should be based on patient-related factors. In elderly patients with osteoporotic bone and severe comminution of the fracture, adequate fixation can be a major challenge for surgeons. The use of megaprosthesis has been recently proposed in traumatology as an alternative to osteosynthesis or conventional prosthesis for the management of comminuted articular fractures in elderly patients with poor bone stock. Methods A consecutive case series of 5 patients who underwent reconstruction of the elbow joint with a trabecular hinged modular elbow megaprosthesis was reviewed retrospectively. All patients included had AO/OTA 13C2 and 13C3 fractures with metaphyseal extension and considerable bone loss of the distal humerus. The primary outcome was the evaluation of functional and clinical outcomes with the MEPS score in comminuted distal humerus fractures with metaphyseal extension and poor bone stock in elderly patients treated with elbow megaprosthesis. The secondary outcome was assessing the treatment-related complication rate of this technique in non-oncological fields. Results Five patients were included in the study with a mean age of 82.66 ± 7.72 years at surgery. The mean MEPS value was 63 ± 24.2 at 1 month, 81 ± 23.53 at 3 months, 83 ± 24.2 at 6 months, and 84 ± 24.57 at 12 months. No intraoperative complications were recorded in our series. Of 5 patients, four patients had excellent clinical and functional outcomes. We did not encounter wound dehiscence, prosthetic joint infection, aseptic loosening, or periprosthetic fractures. Conclusions The indication for this type of treatment must be selected and narrowed down, as it is a salvage procedure, and any failure would cause even more complex situations. Short operating times and early mobilization of the elbow are the advantages of this technique.

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“…Similarly, allograft reconstruction has many risks of inducing an immune response, integrating with host bone, remodeling slowly, and transmitting diseases [ 7 ]. In large segmental bone defects, elbow arthrodesis is difficult to achieve and patient acceptance and functional outcomes tend to be poor [ 8 ]. As the prognosis of the allograft-prosthetic composite (APC) and prosthesis reconstructive procedure continues to improve, total elbow arthroplasty (TEA) is becoming more common, with the advantages of immediate stabilization, early mobility, and satisfactory functional status, and has now become the primary strategy for reconstruction [ 1 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Elbow hemiarthroplasty with a 3D-printed prosthesis for distal humeral bone defects after tumor excision: a case report

et al. 2023

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Introduction The distal humerus is a rare site for primary and metastatic bone tumors. Due to the scarcity of cases and lack of standardized surgical strategies, it is often difficult for surgeons to choose the right choice. The application of a 3D-printed prosthesis with hemiarthroplasty for the treatment of the distal humerus after tumor resection can be a very effective option. Case presentation We present a clinical case of a 3D-printed distal humeral prosthesis for the treatment of bone defects caused by metastatic bone tumors. The preoperative evaluation was aggressively performed, and the decision was made to distal humeral hemiarthroplasty (DHH) after wide resection of the tumor segment bone. Processing of the Digital Imaging and Communications in Medicine (DICOM) data from CT scans performed after mirror conversion using CT data of the contralateral humerus, we designed a 3D-printed distal humeral prosthesis with hemiarthroplasty. After reconstruction of bone and surrounding soft tissue by the 3D-printed prosthesis combined with the LARS ligament and regular follow-up for 12 months, the patient had an MSTS-93 score of 29 and an MEP of 100, which reached a good level, and the patient was fully competent in normal daily activities. Conclusions Our results show that the 3D-printed modular prosthesis with hemiarthroplasty is a very effective option for cases of large elbow bone defects due to primary bone tumors or metastatic disease. However, careful preoperative preparation is required for the best outcome. Careful preoperative preparation and long-term follow-up are essential for the best outcome.

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Ellenbogengelenkarthrodese

Cited by 19 publications

References 25 publications

Radial Head Fractures Treated with Open Reduction and Internal Fixation

Radial Head Fractures Treated with Open Reduction and Internal Fixation

Megaprosthetic replacement in complex distal humerus fractures in elderly patients: a case series

Elbow hemiarthroplasty with a 3D-printed prosthesis for distal humeral bone defects after tumor excision: a case report

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