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. 2021 Mar 24:17:201-213.
doi: 10.1016/j.jcot.2021.03.013. eCollection 2021 Jun.

Interpositional elbow arthroplasty using fascia lata autograft in stiff elbow: Case series of 8 patients

Abhimanyu Kumar  1 , Loveneesh G Krishna  2   3
Affiliations

Interpositional elbow arthroplasty using fascia lata autograft in stiff elbow: Case series of 8 patients

Abhimanyu Kumar et al. J Clin Orthop Trauma. .

Abstract

Introduction: Constrain of a total elbow replacement and elbow arthrodesis are too much for the working population to bear. As such interpositional elbow arthroplasty using fascia lata autologous graft to reconstruct the elbow joint is a viable option in this age group.

Materials and method: 8 patients were operated for arthritic stiff elbow, and joint reconstruction was done using fascia lata autologous graft, with out the use of any hinged external fixator. Pre-operative and post-operative functional assessment was done using Mayo Elbow Performance Score (MEPS) and statistically measured using a paired t-test. Result There was significant improvement in range of motion in coronal (flexion-extension) and axial (supination-protonation) with p-value of <0.001. The mean pre-operative MEPI increased from 40.6 points to 91.9 points (p < 0.0001). All parameters of MEPI had statistically significant improvement with exception of stability (p-value = 0.0824).

Keywords: Bone stock preservation; Elbow arthritis; Elbow arthroplasty; Elbow interpositional arthroplasty; Fascia lata autograft; Stiff elbow.

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Conflict of interest statement

There was no conflict of interest during the duration of this study.

Figures

Fig. 1
Fig. 1
Curvilinear posterior incision.
Fig. 2
Fig. 2
Reflected triceps aponeurosis.
Fig. 3
Fig. 3
Arthritic elbow joint.
Fig. 4
Fig. 4
Remaining arthritic cartilage removed, and subchondral bone preserved.
Fig. 5
Fig. 5
Harvested fascia lata graft.
Fig. 6
Fig. 6
Fascia lata placed and sutured over distal humerus and olecranon (∗olecranon, solid arrows: reflected triceps muscles, curved line: distal humerus with fascia lata graft).
Fig. 7
Fig. 7
Flexion and extension under anesthesia (pre-operative).
Fig. 8
Fig. 8
a) Pre-operative range of motion-flexion. b) Pre-operative range of motion- Extension.
Fig. 9
Fig. 9
a) Post-operative range of motion- Flexion at 2 years. b) Post-operative range of motion- Extension at 2 years.
Fig. 10
Fig. 10
a) Pre-operative Antero-posterior view radiograph. b) Pre-operative lateral view radiograph.
Fig. 11
Fig. 11
Immediate post-operative lateral view radiograph.
Fig. 12
Fig. 12
a) Post-operative Lateral view radiograph at 2 year follow up. b) Post-operative antero-posterior view radiograph at 2 year follow up.
See this image and copyright information in PMC

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