First-line management of distal humerus fracture by total elbow arthroplasty in geriatric traumatology: Results in a 21-patient series at a minimum 2 years’ follow-up

Abstract

4.

Primary Linked Total Elbow Arthroplasty for Acute Distal Humerus Fracture Management: A Systematic Review of Clinical Outcome

“…15,16) Patient satisfaction rate was used for qualitative assessment and was described in only 4 studies. 13,14,18,20) The average value of postoperative flexion-extension motion arc reported in all studies was 102.3°. Only 7 studies described the postoperative pronation-supination motion arc, the average of which was 145.8°.…”

“…The current systematic review showed that most of the patients were in their 7th decade of life (71.7%). Most of the studies included the closed fracture type (183 patients, 71.7%) [11][12][13][14][15]18,20) and a small number of open fracture type (18 patients, 7.05%), 14,15,17,20) whereas 54 cases (21.3%) did not specify the type of fracture. 16,19) In the elderly patients who have "paper thin" skin, the presence of a low-grade open fracture is not uncommon.…”

“…19) Surgery was performed in the dominant extremity for 92 patients (62.1%). 14,15,18,20) Six studies did not specify whether the surgery was performed in the dominant extremity. [11][12][13]16,17,19) Table 2 summarizes the patient characteristics.…”

“…Four studies included only the closed fracture type, [11][12][13]18) 1 study included only the open fracture type, 17) 3 studies included both open and closed fractures, 14,15,20) while 2 studies did not report regarding the fracture type. 16,19) Overall 11,12,14,15,20) The range of time from injury to surgery was 4.3 to 9.1 days but not mentioned in 3 studies. 15,16,19) Table 3 summarizes the injury characteristics.…”

“…All of the included studies made a quantitative assessment of the outcomes; however, only 4 studies were with qualitative assessment. 13,14,18,20) Quantitative assessment included Mayo Elbow Performance Score (MEPS) in 9 studies, [11][12][13][14][15][16][18][19][20] Disabilities of the Arm, Shoulder and Hand (DASH) or quick-DASH score in 5 studies, 13,15,16,17,20) and visual analog scale (VAS) in 2 studies. 13,19) Mayo Elbow Performance Index (MEPI), Katz score, and modified American Shoulder and Elbow Society (ASES) were in the minority of outcome measurement tools.…”