title: [Endoprosthesis for the fractured elbow: uni- and bicompartmental alloarthroplasty of the humero-ulnar joint].
abstract: Posttraumatic arthrosis or rheumatoid arthritis located at the elbow, in particular at the humero-ulnar joint will probably not occur in increasing numbers in the future due to new antirheumatic medications and modern implants. However, the demographic development with an increase of the geriatric population and the typical physical changes is evident. Due to osteoporosis with a resulting poor bone quality severe fracture patterns may occur at the site of the distal humerus after a simple collapse. The usual surgical aim consisting of an exact anatomic reduction may be impossible to achieve by applying the standard operative treatment. Several studies have proven that a prosthetic replacement of such a severely damaged elbow is a viable solution for elderly people. A mobile, pain-free and stable elbow joint promotes a fast recovery of the patient with a quick return to former activities. Nevertheless, elbow prostheses cannot withstand great strains and the surgeon has to identify those fractures which require a prosthetic replacement. The surgical implantation procedure requires an adequate knowledge of both elbow anatomy and prosthetic options.
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn. oliver.weber@ukb.uni-bonn.de
authors.forename: O
authors.initials: O
authors.lastname: Weber
authors.forename: C
authors.initials: C
authors.lastname: Burger
authors.forename: G
authors.initials: G
authors.lastname: Stein
authors.forename: S
authors.initials: S
authors.lastname: Gravius
authors.forename: D C
authors.initials: DC
authors.lastname: Wirtz
authors.forename: P H
authors.initials: PH
authors.lastname: Pennekamp
authors.forename: C N
authors.initials: CN
authors.lastname: Kraft
authors.forename: M
authors.initials: M
authors.lastname: Müller
mesh_terms: D000368:Aged; D000465:Algorithms; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D058569:Elbow Prosthesis; D005500:Follow-Up Studies; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D000092464:Elbow Injuries