Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Mar 31;58(5):e813-e817.
doi: 10.1055/s-0040-1722574. eCollection 2023 Oct.

Total Arthroplasty in Complex Elbow Injury

Ricardo Fernandes Rezende  1 , Marcela de Melo Gajo  1 , Sérgio Moreira da Costa  1 , Rafael Fuchs Lazarini  1 , Antonio Enéas Rangel de Carvalho Junior  1 , Ildeu Afonso de Almeida Filho  1
Affiliations

Total Arthroplasty in Complex Elbow Injury

Ricardo Fernandes Rezende et al. Rev Bras Ortop (Sao Paulo). .

Abstract

The authors present an atypical case of a left elbow complex fracture with extensive loss of bone and muscle tissue. The patient was submitted to several surgical procedures, which resulted in a total arthroplasty of the left elbow with triceps reconstruction using a semitendinosus muscle tendon graft.

Keywords: arthroplasty, replacement; elbow fractures; elbow joint; elbow prosthesis.

PubMed Disclaimer

Conflict of interest statement

Conflito de Interesses Os autores declaram não haver conflito de interesses.

Figures

Fig. 1
Fig. 1
(A/B) Image of the left elbow on the day of the trauma (before surgery).
Fig. 2
Fig. 2
(A) Perioperative (B) and postoperative image of the latissimus dorsi flap.
Fig. 3
Fig. 3
(A/B/C) Triceps reconstruction with a semitendinosus muscle tendon graft.
Fig. 4
Fig. 4
(A) Lateral radiography showing the first external fixator (transarticular, tube-to-tube) and bone failure at the left elbow level. (B/C) Anteroposterior (AP) and lateral radiographs, respectively, showing bone tissue formation at the left elbow level. (D/E) AP and lateral radiographs showing the external fixator articulated at the left elbow level. (F) AP radiography showing the elbow prosthesis. (G) Lateral radiograph showing the elbow prosthesis.
Fig. 5
Fig. 5
(A/B/C/D) Current physical aspect and range of motion of the left elbow.
Fig. 1
Fig. 1
(A/B) Imagem do cotovelo esquerdo no dia do trauma (pré-operatório).
Fig. 2
Fig. 2
(A) Peroperatório - retalho do Grande Dorsal. (B) Pós-operatório- retalho do grande dorsal.
Fig. 3
Fig. 3
(A/B/C) Reconstrução do Tríceps com enxerto do semitendíneo.
Fig. 4
Fig. 4
(A) Radiografia em Perfil mostrando o primeiro fixador externo (tubo-a-tubo transarticular) e falha óssea ao nível do cotovelo esquerdo. (B/C) Radiografia em incidência anteroposterior (AP) e de perfil, respectivamente, mostrando formação de tecido ósseo ao nível do cotovelo esquerdo. (D/E) Radiografia em AP e de perfil mostrando o fixador externo articulado ao nível do cotovelo esquerdo. (F) Radiografia em AP mostrando a prótese de cotovelo. (G) Radiografia em perfil mostrando a prótese de cotovelo.
Fig. 5
Fig. 5
(A/B/C/D) Aspecto físico e amplitude de movimento atual do cotovelo esquerdo.
See this image and copyright information in PMC

References

    1. Miller E A, Iannuzzi N P, Kennedy S A. Management of the Mangled Upper Extremity: A Critical Analysis Review. JBJS Rev. 2018;6(04):e11. - PubMed
    1. Hall J A. Cham, Switzerland: Springer; 2019. Total Elbow Arthroplasty in the Treatment of Complex Distal Humeral Fractures; pp. 111–117.
    1. Harmer L S, Sanchez-Sotelo J. Total Elbow Arthroplasty for Distal Humerus Fractures. Hand Clin. 2015;31(04):605–614. - PubMed
    1. Levin E S, Plotkin B. Elbow Arthroplasty: From Normal to Failure. Semin Musculoskelet Radiol. 2019;23(02):141–150. - PubMed
    1. Nestorson J, Rahme H, Adolfsson L. Arthroplasty as primary treatment for distal humeral fractures produces reliable results with regards to revisions and adverse events: a registry-based study. J Shoulder Elbow Surg. 2019;28(04):e104–e110. - PubMed