Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Primary total elbow arthroplasty in complex fractures of the distal humerus

Research output: Contribution to journalJournal articleResearchpeer-review

Documents

  • WJO-5-368

    Final published version, 745 KB, PDF-document

DOI

  1. Does ethnicity and education influence preoperative disability and expectations in patients undergoing total knee arthroplasty?

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Possibilities for arthroscopic treatment of the ageing sternoclavicular joint

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Tourniquets do not increase the total blood loss or re-amputation risk in transtibial amputations

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Surgical apgar score predicts early complication in transfemoral amputees: Retrospective study of 170 major amputations

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Knee awareness and functionality after simultaneous bilateral vs unilateral total knee arthroplasty

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Rebound pain following peripheral nerve block anaesthesia in acute ankle fracture surgery: An exploratory pilot study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Phalanxfrakturer på hånd

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Good midterm results of hip arthroscopy for femoroacetabular impingement

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Revision after shoulder replacement for acute fracture of the proximal humerus

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

AIM: To evaluate short- to medium term outcome of total elbow arthroplasty (TEA) in complex fractures of the distal humerus.

METHODS: A consecutive series of 24 complex distal humerus fractures operated with TEA in the period 2006-2012 was evaluated with the Mayo Elbow Performance score (MEPS), plain radiographs, complications and overall satisfaction. The indications for surgery were 1: AO type B3 or C3 or Sheffield type 3 fracture and age above 65 or 2: fracture and severe rheumatoid arthritis. Mean follow-up time was 21 mo.

RESULTS: Twenty patients were followed up. Four patients, of which 3 had died, were lost to follow up. According to the AO classification there were 17 C3, 1 B2 and 2 A2 fractures. Mean follow-up was 21 months (range 4-54). Mean MEPS was 94 (range 65-100). Mean flexion was 114 degrees (range 80-140). According to MEPS there were 15 excellent, 4 good and 1 fair result. Patient satisfaction: 8 excellent, 10 good, 2 fair and 1 poor. There were two revisions due to infection treated successfully with revision and three months of antibiotics. In two patients the locking split had loosened. One was referred to re-insertion and one chose yearly controls. Two patients had persistent dysaesthesia of their 5th finger, but were able to discriminate between sharp and blunt.

CONCLUSION: Our study suggests that TEA in complex fractures of the distal humerus in elderly patients can result in acceptable short- to medium term outcome.

Original languageEnglish
JournalWorld Journal of Orthopedics
Volume5
Issue number3
Pages (from-to)368-72
Number of pages5
ISSN2218-5836
DOIs
Publication statusPublished - 18 Jul 2014

Most downloaded publications

No data available

ID: 45016874