Functional Outcome of Primary Total Elbow Arthroplasty for Intra-articular Distal Humerus Fractures in Elderly Patients: A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Treatment of fractures of distal humerus after the age of 50 years is challenging due to osteoporotic bone and comminution of the articular surface. Distal humerus has complex anatomy with limited options for internal fixation. Open reduction and internal fixation carry risks of loss of fixation, stiffness, infection, and non-union. Arthroplasty carries the risk of loosening, infection, and periprosthetic fractures. The aim is to study the functional outcome of primary total elbow arthroplasty (TEA) for intra-articular distal humerus fractures. Design: This was an institution-based prospective study. Patients: A total of 15 patients in the age group more than 50 years having distal humerus fractures that required surgical treatment with minimal clinical follow-up of 1 year were selected. All fractures were OTA classification 13.C2 or 13.C3. No patient lost the follow-up. Intervention: We used Bakshi’s sloppy hinge elbow prosthesis (3rd generation) as the intervention procedure. Main Outcome Measurement: Mayo Elbow Performance Score was used. Results: Among total elbow replacement group after 1 year, all the patients satisfied (14 excellent and 1 good result). No patients treated with TEA require revision surgery. Conclusion: We recommend TEA which may be a viable option for intra-articular distal humerus fracture in the patients with age more than 50 years. Our study population is small and also the follow-up period is short. Further study with large population with longer duration follow-up is needed.
Authors and Affiliations
Sudarsan Behera, Prasanta Kumar Saha, Sagnik Ray, Ananda Kisor Pal
Keywords
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