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Orthop Clin North Am. 2020 Apr;51(2):265-277. doi: 10.1016/j.ocl.2019.11.009. Epub 2020 Feb 3.

Elbow Hemiarthroplasty for the Treatment of Distal Humerus Fractures.

Author information

1
Roth | McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, Western University, 268 Grosvenor Street, Room D0-213, London, Ontario N6A4L6, Canada.
2
Roth | McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, Western University, 268 Grosvenor Street, Room D0-213, London, Ontario N6A4L6, Canada. Electronic address: gking@uwo.ca.

Abstract

Distal humerus hemiarthroplasty is a good surgical option for nonreconstructable intraarticular distal humerus fractures in selected lower-demand patients. The lifetime activity restrictions have not been determined, but are likely less than a total elbow arthroplasty. From a technical standpoint, distal humeral prostheses should be implanted at the correct depth and rotation. The collateral ligaments, condyles, and epicondyles should be preserved and/or repaired to maintain joint stability. Short- to midterm retrospective studies have shown promising results.

KEYWORDS:

Distal humerus hemiarthroplasty; Elbow; Fracture

PMID:
32138864
DOI:
10.1016/j.ocl.2019.11.009
[Indexed for MEDLINE]

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