In 1999, Sperling and associates (3) were the first to describe the use of the semiconstrained Coonrad-Morrey total elbow arthroplasty (Zimmer Corporation, Warsaw, IN) in the treatment of malignancies of the distal humerus.
In 2005, Athwal and associates (4) described 20 patients who underwent total elbow arthroplasty, 19 with a standard semi-constrained Coonrad-Morrey total elbow arthroplasty (Zimmer, Warsaw, IN), and one case with a custom humeral component with an extended flange.
Impaction Grafting in Revision Total Elbow Arthroplasty
for Aseptic Loosening and Bone Loss
Among the topics are the history of the procedure, the cardiac patient, measurement and assessment tools, unlinked elbow replacement arthroplasty, total elbow arthroplasty
for blood disorders, shoulder component design and fixation, and the radiographic assessment of painful shoulder arthroplasty.
Articles cover such topics as operative treatment of fractures of the clavicle and nonunions, isolated tuberosity fractures, open reduction and internal fixation of proximal humerous fractures, nonunions of the humeral shaft, total elbow arthroplasty
and reconstruction to relieve post-traumatic stiffness and instability.
There have been very few reports of treatment by primary total elbow arthroplasty for chronic dislocation, (1,6,7) despite the fact that elbow arthroplasty after trauma or nonunion is well accepted.
The final outcome in our patient shows that a primary total elbow arthroplasty in a patient with neglected old unreduced elbow fracture dislocation results in a significant decrease in pain and a dramatic increase in function and ROM.
When nonoperative treatments have failed, total elbow arthroplasty
(TEA) may provide an effective treatment option.
The section is rounded out with examinations of total elbow arthroplasty
and upper extremity golf injuries.
Total elbow arthroplasty
can provide satisfactory results in the majority of patients with significant degeneration of the elbow.
26) This provides excellent visualization of the ulnohumeral articular surface and allows for internal fixation of intra-articular distal humerus fractures and total elbow arthroplasty
This patient failed initial ORIF and was later converted to a total elbow arthroplasty