[Primary total elbow replacement for complex intra-articular distal humerus fractures].
BACKGROUND
Open reduction and internal fixation of multifragmentary intra-articular fractures of the distal humerus often do not provide satisfactory results in elderly patients with osteoporosis.


METHODS
From December 2001 to January 2008 a total elbow arthroplasty (Coonrad-Morrey, Zimmer, USA) was performed on 12 patients (average age 81+/-9 ears) who presented with a type C distal humeral fracture. The mean time of follow-up with clinical and radiological assessment was 28+/-17 months.


RESULTS
The Mayo score showed a good functional result with an average of 81+/-9 out of 100. DASH and SECEC scores showed a fair result with respect to elbow function (43+/-8 and 68+/-7 points, respectively). The average range of motion of all patients was 120-33-0 degrees. Heterotopic ossifications were found by X-ray examination in 4 cases and asymptomatic radiolucent lines in 4 cases.


CONCLUSIONS
Primary total elbow arthroplasty for complex intra-articular distal humerus fractures in elderly patients has good functional results and is an alternative to osteosynthesis.
Kraus
E
E
Chirurgisch-Orthopädische Klinik, Regionalspital Surselva, Ilanz, Schweiz.
Harstall
R
R
Borisch
N
N
Weber
D
D
D000368:Aged; D000369:Aged, 80 and over; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D017102:Fracture Healing; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D016896:Treatment Outcome; D000092464:Elbow Injuries