Cutis arthroplasty of the elbow joint

Froimson, AI; Je, Silva; Richey, Dewayne G.

doi:10.2106/00004623-197658060-00020

Cited by 59 publications

(15 citation statements)

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“…The categorical ratings based on the MEPI showed excellent results in 1, good in 5, and fair in 1. The satisfaction subscore for the ASES instrument in the 7 patients averaged 7 (range, [3][4][5][6][7][8][9][10].…”

Section: Resultsmentioning

confidence: 99%

“…2,4,8,9 Temporary hinged external fixation has been recommended as an adjunct to interpositional arthroplasty to help diminish consequent elbow instability, 2,3,14,16 one of the main drawbacks of the procedure. 2,4 This article reports the use of interpositional arthroplasty of the elbow with temporary hinged external fixation in healthy, active patients with post-traumatic arthritis.…”

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confidence: 99%

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Interposition arthroplasty of the elbow with hinged external fixation for post-traumatic arthritis

Nolla

Ring

Lozano-Calderón

et al. 2008

Journal of Shoulder and Elbow Surgery

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Interposition arthroplasty of the elbow with hinged external fixation for post-traumatic arthritis

Nolla

Ring

Lozano-Calderón

et al. 2008

Journal of Shoulder and Elbow Surgery

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“…5,6,9 In the past, the primary indication for surgery has been stiffness or ankylosis. 10 There have been few reports on the procedure in patients whose main indication for surgery was the relief of pain in an elbow with functional movement. 5,8 In regard to the technique, most reports have described the removal of a moderate amount of articular bone which was expected to cause some degree of instability and which was not considered to be a complication.…”

Section: Discussionmentioning

confidence: 99%

Treatment of the mobile, painful arthritic elbow by distraction interposition arthroplasty

Cheng

Morrey

2000

The Journal of Bone and Joint Surgery. British volume

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Between 1986 and 1994, 13 patients with mobile painful arthritic elbows were treated by distraction interposition arthroplasty using fascia lata. The mean period of follow-up was 63 months. An elbow distractor/fixator was applied for three to four weeks to separate the articular surfaces and to protect the fascial graft.Nine of the 13 patients (69%) had satisfactory relief from pain; eight (62%) had an excellent or good result by the objective criteria of the Mayo Elbow Performance score. Four have required revision to total elbow arthroplasty at a mean of 30 months with good results to date.Instability of the elbow, both before and after surgery, was found to be associated with unsatisfactory results. The rate of success when the procedure was performed for inflammatory arthritis was similar to that for post-traumatic arthritis, about 67%. Eight complications occurred in six patients, all in the group with post-traumatic arthritis. Two of these required further surgical procedures such as transposition of the ulnar nerve or repair of hernia of the fascia lata.Although less reliable than prosthetic replacement, distraction interposition arthroplasty is a useful option in the treatment of young, high-demand patients with arthritis of the elbow. It is rarely indicated in the presence of generalised inflammatory arthritis, but may be of value in those patients in whom the disease is limited primarily to the elbow.

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“…174 Resurfacing materials may include autologous fascia lata from the thigh, autologous skin, or an allograft such as an Achilles' tendon. 156,158,173,175 When the ulnar nerve is symptomatic, a medial interval may be chosen. 156,176 Otherwise, a lateral interval is used.…”

Section: Arthroscopic Contracture Releasementioning

confidence: 99%