liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Hemiarthroplasty for irreparable distal humeral fractures: Medium-term follow-up of 42 patients
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Department of Orthopaedics Gothenburg University Institute of Clinic al Sciences at Sahlgrenska Academy, Gothenburg, Sweden.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Department of Orthopaedics Varberg Hospital, Varberg, Sweden..
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
2015 (English)In: The Bone & Joint Journal, ISSN 2049-4394, E-ISSN 2049-4408, Vol. 97B, no 10, 1377-1384 p.Article in journal (Refereed) Published
Abstract [en]

We report our experience of performing an elbow hemiarthroplasty in the treatment of comminuted distal humeral fractures in the elderly patients. A cohort of 42 patients (three men and 39 women, mean age 72; 56 to 84) were reviewed at a mean of 34.3 months (24 to 61) after surgery. Functional outcome was measured with the Mayo Elbow Performance Score (MEPS) and range of movement. The disabilities of the arm, shoulder and hand questionnaire (DASH) was used as a patient rated evaluation. Complications and ulnar nerve function were recorded. Plain radiographs were obtained to assess prosthetic loosening, olecranon wear and heterotopic bone formation. The mean extension deficit was 23.5 degrees (0 degrees to 60 degrees) and mean flexion was 126.8 degrees (90 degrees to 145 degrees) giving a mean arc of 105.5 degrees (60 degrees to 145 degrees). The mean MEPS was 90 (50 to 100) and a mean DASH score of 20 (0 to 63). Four patients had additional surgery for limited range of movement and one for partial instability. One elbow was revised due to loosening, two patients had sensory ulnar nerve symptoms, and radiographic signs of mild olecranon wear was noted in five patients. Elbow hemiarthroplasty for comminuted intra-articular distal humeral fractures produces reliable medium-term results with functional outcome and complication rates, comparable with open reduction and internal fixation and total elbow arthroplasty.

Place, publisher, year, edition, pages
BRITISH EDITORIAL SOC BONE JOINT SURGERY , 2015. Vol. 97B, no 10, 1377-1384 p.
National Category
Clinical Medicine Orthopedics
Identifiers
URN: urn:nbn:se:liu:diva-122788DOI: 10.1302/0301-620X.97B10.35421ISI: 000363600600013PubMedID: 26430013OAI: oai:DiVA.org:liu-122788DiVA: diva2:873325
Available from: 2015-11-23 Created: 2015-11-23 Last updated: 2016-04-04Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Nestorson, JensAdolfsson, Lars
By organisation
Division of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDepartment of Orthopaedics in LinköpingDepartment of Clinical and Experimental MedicineDivision of Clinical Sciences
In the same journal
The Bone & Joint Journal
Clinical MedicineOrthopedics

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 121 hits
ReferencesLink to record
Permanent link

Direct link