title: Custom-made endoprosthetic reconstruction of the distal humerus for non-tumorous pathology.
abstract: Eight patients underwent custom-made endoprosthetic elbow reconstruction between 1989 and 2006 either for failed primary total elbow replacements or following complex fracture complications. A functional assessment using the Toronto Extremity Salvage (TES) score was performed. Patients were followed for a mean of 46.1 months (range : 25 to 88). One patient who presented with an infected periprosthetic fracture around a total elbow replacement, failed two-stage reconstruction and underwent excision arthroplasty. The remaining seven patients were available for functional follow-up. Average flexion deformity was 15 degrees (range: 7 to 35) and average flexion arc was 85 degrees (range : 70 to 130). The mean TES score was 67.3 (range: 36.6 to 95.9). Custom made endoprosthetic reconstruction allowed for a satisfactory outcome in all but one of these eight patients with severe bony destruction around the elbow in the absence of tumour infiltration.
authors.affiliation: Department of Orthopaedic Oncology, Royal National Orthopaedic Hospital Trust, Stanmore, United Kingdom. amitamin@doctors.org.uk
authors.forename: Amit
authors.initials: A
authors.lastname: Anmin
authors.forename: Sivakolundu
authors.initials: S
authors.lastname: Suresh
authors.forename: Anish
authors.initials: A
authors.lastname: Sanghrajka
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Cannon
authors.forename: Tim W R
authors.initials: TW
authors.lastname: Briggs
authors.forename: Paul
authors.initials: P
authors.lastname: Unwin
mesh_terms: D000328:Adult; D000368:Aged; D019643:Arthroplasty, Replacement; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D006811:Humerus / Q000601:surgery*; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012086:Reoperation; D000092464:Elbow Injuries