The Kudo humeral component as primary hemiarthroplasty in distal humeral fractures

Elbow hemiarthroplasty using a “triceps-on” approach for the management of acute distal humeral fractures

“…22 The good functional scores achieved in this study compare favorably with those reported in other series. 1,3,6,14,22 The QuickDASH scores in our series were superior to those reported by other authors. This may be a reflection of the indications for surgery and age of patients in other series.…”

“…1 The authors described a cautious rehabilitation regimen in the early postoperative period, including the use of a splint when supervised mobilization was not performed during the first 4 weeks after surgery. Although they did not report complications related to triceps insufficiency, the mean flexion arc in this series was 95 , which is lower than that reported in other series.…”

“…[7][8][9]15,19 Consequently, there is renewed interest in elbow hemiarthroplasty (EHA) as an alternative option for patients who would be candidates for TEA. 1,3,6,14,22 The potential advantage of EHA is elimination of all complications related to the ulnar component and linked articulation in TEA. The potential disadvantages include the risk of instability with an unlinked implant and cartilage erosion on the opposite side of the articulation.…”

Arthroplasty in Elbow Fracture Treatment

“…All in all the outcomes of about 130 patients have been reported in English journals but no long-term follow-up results are available. (Burkhart et al 2011, Adolfsson and Nestorson 2012, Smith and Hughes 2013, Hohman et al 2014, Heijink et al 2015, Nestorson et al 2015, Phadnis et al 2015, Smith et al 2016, Schultzel et al 2017.…”

“…Using non-anatomical implant attrition was seen in 3 out of 8 patients after a mean follow-up of four years (in two patients as early as after two years) (Adolfsson and Nestorson 2012). The problem of olecranon wear appeared to be less: 12% showing mild radiographic signs of reduction of cartilage thickness after a slightly shorter follow-up (mean of 34 months) when using an anatomical implant.…”