Semi-restrictive total elbow arthroplasty for complex distal humeral fractures in the older adults: one-year follow-up

doi:10.3969/j.issn.2095-4344.1080

Abstract

Abstract:

BACKGROUND: The most important treatment for distal humeral fracture is plate internal fixation. But the treatment of elderly patients with severe comminution of distal humeral articular surface is still controversial.

OBJECTIVE: To investigate the short-term effect of semi-restrictive total elbow arthroplasty for complex distal humeral fractures in elderly patients.

METHODS: Nine patients (65-78 years old, 69 years in average) with complex distal humerus fractures treated by semi-restrictive total elbow arthroplasty admitted at Department of Orthopedics, Foshan Hospital of Traditional Chinese Medicine from March 2016 to June 2017 were analyzed retrospectively. Mayo Elbow Performance Score and postoperative complications were recorded at 1-year follow-up.

RESULTS AND CONCLUSION: (1) All patients were followed up for 12-27 months. (2) At the last follow-up, the average elbow flexion was 117.8°, the average elbow extension was 10.4°, the average pronation was 78.4°, and the average supination was 68.2°. (3) According the Mayo Elbow Performance Score at 1 year postoperatively, two cases were excellent, five cases were good, and two cases were fair. The excellent and good rate was 78%. (4) One patient had symptoms of ulnar nerve. One had elbow extension fatigue. All of the patients had no other complications during follow-up. (5) To conclude, the semi-restrictive total elbow arthroplasty exhibits satisfactory short-term treatment outcomes for complex distal humeral fractures in the older adults.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Humeral Fractures, Arthroplasty, Replacement, Elbow, Follow-Up Studies, Tissue Engineering

CLC Number:

R459.9

Chen Xiaokang, Wu Zhengjie, Zhou Bingxue, Zhou Jiansheng, Hong Shi. Semi-restrictive total elbow arthroplasty for complex distal humeral fractures in the older adults: one-year follow-up [J]. Chinese Journal of Tissue Engineering Research, doi: 10.3969/j.issn.2095-4344.1080.

Figures/Tables 3

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