Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?

Atalar, Ata Can; KAPICIOĞLU, MEHMET İSMAİL SAFA; ATICI, Teoman; DEMİRHAN, MEHMET SELAHATTİN; Ersen, Ali

Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?

Ali ERŞEN, (İstanbul Bilim Üniversitesi, Florence Nightingale Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

MEHMET SELAHATTİN DEMİRHAN, (Muğla Sıtkı Koçman Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Muğla, Türkiye)

Ata Can ATALAR, (İstanbul Bilim Üniversitesi, Florence Nightingale Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Teoman ATICI, (Uludağ Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Bursa, Türkiye)

MEHMET İSMAİL SAFA KAPICIOĞLU (İstanbul Bilim Üniversitesi, Florence Nightingale Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

0 0

Yıl: 2015 Cilt: 49 Sayı: 4 Sayfa Aralığı: 354 - 360 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?

Öz:

Objective: The purpose of this study was to evaluate the functional and radiological results of semiconstrained Coonrad-Morrey total elbow arthroplasty for distal humeral nonunions in the mid-term period.Methods: Seven patients were treated with Coonrad-Morrey total elbow arthroplasty for distal humeral nonunion. All patients were female, and the mean age was 65.6 years (range: 64-68 years). Patients were followed for at least 5 years, and the mean follow-up time was 73 months (range: 63-84 months). Anteroposterior and lateral radiographs at preoperative and early postoperative period of the joint replacement and latest follow-up were used to detect postoperative radiological changes in terms of loosening. The Mayo Elbow Performance Index (MEPI) and Q-DASH Score were used for functional evaluation.Results: At the latest follow-up, joint stability had been achieved in all 7 patients. Six patients (85.7%) were pain free. The mean range of motion was 30° (range: 0-60°) preoperatively, and this improved to 90.7° (range: 60-110°) at the latest follow-up (p<0.05). Five patients (71.4%) had excellent or good outcomes on the MEPI. The mean Q-DASH Score was improved from 93.2 to 34.5 (p<0.01). Two humeral components had aseptic loosening, and 1 of them was revised.Conclusion: Semiconstrained total elbow arthroplasty can be a reliable choice of treatment if other internal fixation methods fail. Significant pain relief and improvements in elbow function and stability can be achieved with semiconstrained elbow arthroplasty in patients with distal humeral nonunion

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

Helfet DL, Kloen P, Anand N, Rosen HS. Open reduction and internal fixation of delayed unions and nonunions of fractures of the distal part of the humerus. J Bone Joint Surg Am 2003;85-A:33-40.
Jupiter JB. The management of nonunion and malunion of the distal humerus--a 30-year experience. J Orthop Trau- ma 2008;22:742-50.
Morrey BF. Fractures of the distal humerus: role of elbow replacement. Orthop Clin North Am 2000;31:145-54.
Choo A, Ramsey ML. Total elbow arthroplasty: current options. J Am Acad Orthop Surg 2013;21:427-37.
Park SE, Kim JY, Cho SW, Rhee SK, Kwon SY. Compli- cations and revision rate compared by type of total elbow arthroplasty. J Shoulder Elbow Surg 2013;22:1121-7.
Morrey BF, Bryan RS, Dobyns JH, Linscheid RL. Total elbow arthroplasty. A five-year experience at the Mayo Clinic. J Bone Joint Surg Am 1981;63:1050-63.
Cil A, Veillette CJ, Sanchez-Sotelo J, Morrey BF. Linked elbow replacement: a salvage procedure for distal humeral nonunion. J Bone Joint Surg Am 2008;90:1939-50.
Mitsunaga MM, Bryan RS, Linscheid RL. Condylar non- unions of the elbow. J Trauma 1982;22:787-91.
Morrey BF, Adams RA. Semiconstrained elbow replace- ment for distal humeral nonunion. J Bone Joint Surg Br 1995;77:67-72.
Lee BP, Adams RA, Morrey BF. Polyethylene wear af- ter total elbow arthroplasty. J Bone Joint Surg Am 2005;87:1080-7.
McKee MD, Veillette CJ, Hall JA, Schemitsch EH, Wild LM, McCormack R, et al. A multicenter, prospective, randomized, controlled trial of open reduction--internal fixation versus total elbow arthroplasty for displaced in- tra-articular distal humeral fractures in elderly patients. J Shoulder Elbow Surg 2009;18:3-12.
Espiga X, Antuña SA, Ferreres A. Linked total elbow ar- throplasty as treatment of distal humerus nonunions in pa- tients older than 70 years. Acta Orthop Belg 2011;77:304- 10.
LaPorte DM, Murphy MS, Moore JR. Distal humerus nonunion after failed internal fixation: reconstruction with total elbow arthroplasty. Am J Orthop (Belle Mead NJ) 2008;37:531-4.
Ali A, Shahane S, Stanley D. Total elbow arthroplasty for distal humeral fractures: indications, surgical approach, technical tips, and outcome. J Shoulder Elbow Surg 2010;19(2 Suppl):53-8.

APA	Ersen A, DEMİRHAN M, Atalar A, ATICI T, KAPICIOĞLU M (2015). Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. , 354 - 360.
Chicago	Ersen Ali,DEMİRHAN MEHMET SELAHATTİN,Atalar Ata Can,ATICI Teoman,KAPICIOĞLU MEHMET İSMAİL SAFA Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. (2015): 354 - 360.
MLA	Ersen Ali,DEMİRHAN MEHMET SELAHATTİN,Atalar Ata Can,ATICI Teoman,KAPICIOĞLU MEHMET İSMAİL SAFA Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. , 2015, ss.354 - 360.
AMA	Ersen A,DEMİRHAN M,Atalar A,ATICI T,KAPICIOĞLU M Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. . 2015; 354 - 360.
Vancouver	Ersen A,DEMİRHAN M,Atalar A,ATICI T,KAPICIOĞLU M Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. . 2015; 354 - 360.
IEEE	Ersen A,DEMİRHAN M,Atalar A,ATICI T,KAPICIOĞLU M "Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?." , ss.354 - 360, 2015.
ISNAD	Ersen, Ali vd. "Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?". (2015), 354-360.

APA	Ersen A, DEMİRHAN M, Atalar A, ATICI T, KAPICIOĞLU M (2015). Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. Acta Orthopaedica et Traumatologica Turcica, 49(4), 354 - 360.
Chicago	Ersen Ali,DEMİRHAN MEHMET SELAHATTİN,Atalar Ata Can,ATICI Teoman,KAPICIOĞLU MEHMET İSMAİL SAFA Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. Acta Orthopaedica et Traumatologica Turcica 49, no.4 (2015): 354 - 360.
MLA	Ersen Ali,DEMİRHAN MEHMET SELAHATTİN,Atalar Ata Can,ATICI Teoman,KAPICIOĞLU MEHMET İSMAİL SAFA Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. Acta Orthopaedica et Traumatologica Turcica, vol.49, no.4, 2015, ss.354 - 360.
AMA	Ersen A,DEMİRHAN M,Atalar A,ATICI T,KAPICIOĞLU M Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. Acta Orthopaedica et Traumatologica Turcica. 2015; 49(4): 354 - 360.
Vancouver	Ersen A,DEMİRHAN M,Atalar A,ATICI T,KAPICIOĞLU M Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?. Acta Orthopaedica et Traumatologica Turcica. 2015; 49(4): 354 - 360.
IEEE	Ersen A,DEMİRHAN M,Atalar A,ATICI T,KAPICIOĞLU M "Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?." Acta Orthopaedica et Traumatologica Turcica, 49, ss.354 - 360, 2015.
ISNAD	Ersen, Ali vd. "Is Coonrad-Morrey total elbow arthroplasty a viable option for treatment of distal humeral nonunions in the elderly?". Acta Orthopaedica et Traumatologica Turcica 49/4 (2015), 354-360.