| Total Elbow Arthroplasty after Failed Surgical Treatment for Elbow Fracture or Dislocation |
| Jin Woong Yi, Jun Ha Roh, Jong Hoon Song, Yong Girl Rhee |
| Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Seoul, Korea. shoulderrhee@hanmail.net |
| 주관절 골절 혹은 탈구의 실패한 수술적 치료 후 시행한 주관절 전 치환술의 결과 |
| 이진웅·노준하·송종훈·이용걸* |
| 경희대학교 의과대학 정형외과학 교실 |
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| 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. |
| Key Words:
Elbow; Fracture; Total elbow arthroplasty |
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