D Lami1, M Chivot2, A Caubere2, A Galland3, J N Argenson2. 1. UMR CNRS 787/AMU, Department of Orthopedic Surgery, Institute for Locomotion, Aix-Marseille University, 270, boulevard Sainte Marguerite, BP 29, 13274 Marseille, France. Electronic address: damienlami@hotmail.fr. 2. UMR CNRS 787/AMU, Department of Orthopedic Surgery, Institute for Locomotion, Aix-Marseille University, 270, boulevard Sainte Marguerite, BP 29, 13274 Marseille, France. 3. Institut de la main et du membre supérieur, clinique Monticelli, 393, avenue du prado, 13008 Marseille, France.
Abstract
INTRODUCTION: Total elbow arthroplasty (TEA) is one option in distal humerus fracture in elderly osteoporotic patients. HYPOTHESIS: The study hypothesis was that, in patients aged 70years or more, TEA provides functional results and ranges of motion compatible with everyday activity, with a complications rate equal to or lower than with internal fixation, and no loss of autonomy or cognitive impairment. MATERIAL AND METHODS: In this retrospective study, 21 patients receiving TEA for distal humerus fracture were included. Mean follow-up was 3.2years, with functional (Quick DASH and MEPS), cognitive (MMSE), autonomy-related (ADL) and radiological assessment (Morrey). RESULTS: Mean MEPS was 84 and QuickDASH 32.4. Mean extension deficit was 22°, and mean flexion 125°. There was no loss of autonomy or cognitive impairment. The complications rate was 9.5%. There were no revision surgeries. DISCUSSION: TEA proved reliable in comminuted distal humerus fracture in elderly patients. Functional results were comparable to those in the literature, and the complications rate was lower. Long-term implant survival needs confirmation to validate this option as a treatment of choice in these indications in geriatric traumatology. TYPE OF STUDY: Retrospective non-comparative, single-center. LEVEL OF EVIDENCE: 4.
INTRODUCTION:Total elbow arthroplasty (TEA) is one option in distal humerus fracture in elderly osteoporoticpatients. HYPOTHESIS: The study hypothesis was that, in patients aged 70years or more, TEA provides functional results and ranges of motion compatible with everyday activity, with a complications rate equal to or lower than with internal fixation, and no loss of autonomy or cognitive impairment. MATERIAL AND METHODS: In this retrospective study, 21 patients receiving TEA for distal humerus fracture were included. Mean follow-up was 3.2years, with functional (Quick DASH and MEPS), cognitive (MMSE), autonomy-related (ADL) and radiological assessment (Morrey). RESULTS: Mean MEPS was 84 and QuickDASH 32.4. Mean extension deficit was 22°, and mean flexion 125°. There was no loss of autonomy or cognitive impairment. The complications rate was 9.5%. There were no revision surgeries. DISCUSSION: TEA proved reliable in comminuted distal humerus fracture in elderly patients. Functional results were comparable to those in the literature, and the complications rate was lower. Long-term implant survival needs confirmation to validate this option as a treatment of choice in these indications in geriatric traumatology. TYPE OF STUDY: Retrospective non-comparative, single-center. LEVEL OF EVIDENCE: 4.
Authors: Yaiza Lopiz; Daniel Garríguez-Pérez; Carlos García-Fernández; Laura Del Baño; María Galán-Olleros; Fernando Marco Journal: Int Orthop Date: 2021-04-12 Impact factor: 3.075