Clin Should Elbow.  2020 Sep;23(3):152-155. 10.5397/cise.2020.00213.

Intramedullary fibula strut bone allograft in a periprosthetic humeral shaft fracture with implant loosening after total elbow arthroplasty

  • 1Department of Orthopedic Surgery, Hanyang University Guri Hospital, Guri, Korea
  • 2Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea


Periprosthetic fracture after total elbow replacement surgery is a difficult complication to manage, especially when it comes together with implant loosening. If stem revision and internal fixation of the periprosthetic fracture are performed simultaneously, this would be a very challenging procedure. Most of total elbow replacement implants are cemented type. Cement usage at periprosthetic fracture site may interfere healing of fractured site. Authors underwent internal fixation with use of locking plate and cerclage wire for periprosthetic fracture, allogenous fibular strut bone inserted into the humerus intramedullary canal allowing the fractured site to be more stable without cement usage. At 10-month follow-up, the complete union and good clinical outcome was achieved. We present a novel technique for treating periprosthetic fracture with implant loosening after total elbow replacement surgery, using intramedullary allogenous fibula strut bone graft.


Revision total elbow replacement surgery; Periprosthetic fracture; Allogenous strut bone graft; Intramedullary fixation
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