J Korean Shoulder Elbow Soc.  2007 Dec;10(2):190-198.

Total Elbow Arthroplasty after Failed Surgical Treatment for Elbow Fracture or Dislocation

• Yi JW
• Roh JH
• Song JH
• Rhee YG

Abstract

PURPOSE: The current study reports the clinical results of total elbow arthroplasties (TEA) which were Performed on patients with poor clinical and radiological results after initial surgeries for elbow fractures or dislocations.
MATERIALS AND METHODS
The clinical outcomes of twelve consecutive patients who underwent TEA after failed surgeries for elbow fractures or dislocations from january, 1995 to December, 2005 were evaluated. The initial diagnoses were distal humeral fractures in 8 cases and fracture-dislocations in 4 cases. The Mean period from the initial operations to the TEAs was 12 months. The mean folloow up period after TEA was 43 months.
RESULTS
The mean range of motion, in terms of active extension, activeflexion, supination, and pronation, improved from 14.2degrees, 96.7degrees, 50.8degrees and 53.3degrees to 5.4degrees, 122.1degrees, 63.3degrees and 67.5degrees, respectively (p<0.05).RAdiolucent lines were found in 3 cases, which were 1 case of type 3, and 2 cases of type 4. All three loosening cases underwent revision TEAs. The mean postoperative Mayo elvow performance score was 79 point. There were 6 cases of excellent, 2 cases of good, and 4 cases in poor.
CONCLUSION
Good clinical results were obtained after TEA performed in failed surgeries for elbow fractures of dislocations.

Keyword

Elbow; Fracture; Total elbow arthroplasty

MeSH Terms

Arthroplasty*
Diagnosis
Dislocations*
Elbow*
Humans
Humeral Fractures
Pronation
Range of Motion, Articular
Supination
Tea
Tea