Indications and Surgical Technique of Primary Elbow Linked Arthroplasty

Scacchi, Marco; Giannicola, Giuseppe

doi:10.1007/978-3-030-14455-5_6

Cited by 2 publications

(1 citation statement)

References 53 publications

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“… 3 , 18 However, recent research, mainly consisting in case series reports, have demonstrated high success rates in reconstruction of the elbow in patients with treated local infection. 20 Yamaguchi et al, 3 reported on ten consecutive elbow arthroplasties, implanted in patients with the background of local infection, which was treated with newer antibiotics. These patients were given a minimum of two-year follow-up, with implant survival rates of 80% without new signs of infection.…”

Section: Case Discussionmentioning

confidence: 99%

Total Elbow Arthroplasty and Antegrade Posterior Interosseous Flap for Infected Posttraumatic Arthritis with an Active Fistula. A Rationale for Comprehensive Treatment. Case Report

Farías-Cisneros

Martínez-Peniche

Olguín-Delgado

et al. 2022

Journal of Shoulder and Elbow Arthroplasty

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The indication for total elbow arthroplasty (TEA) for primary and posttraumatic elbow arthritis has increased, however, its indication after infection remains elusive. Wound closure about the elbow increases the challenge of treating a previously infected elbow, often necessitating soft tissue coverage with local or regional flaps. We present a 75-year-old male patient with an elbow infection following a failed complex intraarticular fracture open reduction and internal fixation of the distal humerus. Initially, he presented with severe functional impairment and pain, also with an active fistula with serous exudate, whose culture was positive for Cutinebacterium acnes. Septic hardware loosening, and septic nonunion with intraarticular involvement of the left elbow was diagnosed. The patient underwent hardware removal, fistulectomy, serial irrigation and debridement and a pedicled antegrade posterior interosseous artery (PIA) flap on staged surgical treatment. Finally, after ruling out infection persistence, a TEA was performed. We aim to report the outcome of a patient treated with a TEA in the context of a previously infected elbow with soft tissue coverage with an antegrade PIA flap. Comprehensive treatment must be done in an appropriate manner, to obtain an expedited and desirable outcome.

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