| Literature DB >> 34497964 |
J D Stephens1, Brandon Kohrs1, Logan Bushnell1, Speros Gabriel1, H Brent Bamberger1.
Abstract
BACKGROUND: Distal humerus fractures not amenable to open reduction internal fixation (ORIF) present a unique dilemma, especially for patients that weight bear through assistive devices. The one accepted operative treatment for irreparable distal humerus fractures is total elbow arthroplasty (TEA). However, TEA commonly requires lifetime weight lifting restrictions and has limited long term results. Elbow hemiarthroplasty (EHA) represents an alternative treatment modality. This study reviews patients treated with EHA permitted to weight bear postoperatively.Entities:
Keywords: Hemiarthroplasty; distal humerus fracture; elbow; immediate weight bearing; non-reconstructable
Year: 2020 PMID: 34497964 PMCID: PMC8282154 DOI: 10.1177/2471549220960052
Source DB: PubMed Journal: J Shoulder Elb Arthroplast ISSN: 2471-5492
Figure 1.A, Preoperative coronal CT image demonstrating a comminuted distal humerus fracture. B, Two-week postoperative lateral radiograph of EHA and olecranon osteotomy. C, Three year follow up lateral radiograph.
Patient Age, Follow Up Time in Months, MEPS, PREE, Revision Requirement, Pain Score and Assistive Device Requirement.
| Patient | Age at Time of Surgery (yrs) | Follow Up Time (Months) | MEPS | PREE | Revision Required | Pain Score | Assist Device Required Prior to Surgery |
|---|---|---|---|---|---|---|---|
| #1 | 58 | 59 | Fair (70) | 50.66 | No | Moderate | No |
| #2 | 63 | 52 | Fair (70) | 34.66 | No | Moderate | No |
| #3 | 84 | 25 | Fair (70) | 88 | No | Moderate | No |
| #4 | 81 | 36 | Fair (70) | 36.66 | Yes | Moderate | Yes |
| #5 | 55 | 23 | Good (85) | 30.33 | No | Mild | No |
| #6 | 83 | 34 | Fair (70) | 44 | No | Moderate | Yes |
| #7 | 68 | 31 | Excellent (95) | 4 | No | None | No |
| #8 | 92 | 41 | Fair (70) | 39.66 | No | Moderate | Yes |
| #9 | 53 | 96 | Good (85) | 40.9 | No | Mild | No |
Figure 2.A, Preoperative AP radiograph of a traumatic comminuted distal humerus fracture. (B, C) AP and lateral radiographs taken two weeks post op from EHA. (D, E) Lateral and AP radiographs taken 36 months postoperatively demonstrating hardware failure.